Real-time videoconferencing is an innovative service delivery method to address the striking access gaps to psychological services, particularly in rural communities. The authors draw upon decades of programmatic experience and national guidelines to address key areas in televideo implementation. They describe the initial needs assessment as well as long-term outreach components, including training and sustainahility. They summarize protocol-driven service that addresses technology, personnel, sessions, and follow-up. The authors emphasize creative strategies to translate psychology's best ethical practices to the televideo setting.