Purpose: Telemedicine is an emerging tool that offers medical consultations to patients with limited access to subspecialty care. To date, the use of telemedicine in Canadian medical practices has not been studied in depth. This study aims to characterize the three different telemedicine clinic models in use at the paediatric nephrology program at the Children’s Hospital of Western Ontario and the patient population they served. Methods: To complete this retrospective study, all paediatric nephrology telemedicine consultations provided by one physician from September 30, 2010 to July 13, 2016 were analyzed, which comprised 264 separate consultations with 87 patients. Results: The number of consults increased from 0.25 per month to 8.78 per month between 2010 and 2016, with the most substantial increase seen from 2014 onwards with the establishment of the Windsor block clinics. The patient population had a bimodal age distribution across a geographical distance of 220.3 km to 1371.31 km. Urinary tract infections were the most frequent reason for the consultation. Conclusion: Of the three models described in this study, the block clinic model had the most substantial impact on increasing telemedicine services for paediatric nephrology patients.   CORRECTION, September 7, 2017: In the Methods section of this article, the author AR is incorrectly referred to as a nurse practitioner. AR is in fact a registered nurse (RN). We regret that this error was included.