Kessler’s telerehabilitation physical, occupational and speech therapists complete a series of competency trainings, focused on all aspects of telerehabilitation to ensure the safe, effective and compliant delivery of care in a virtual environment. To begin the training, the clinicians review a standard telerehabilitation educational course and set up the HIPAA-compliant software platform. The rigorous program then progresses to a virtual training that includes components of practice act compliance and scripting, and specific training focused on the regulatory, compliance, environmental and clinical standards required to treat patients via the HIPAA-compliant telehealth platform. We also review additional topics such as: creating a therapeutic alliance virtually, utilizing a customized exercise video platform for auditory and visual patient learning, and increasing patient reported outcome compliance for telerehabilitation patients. The clinicians are then required to take a written exam to assess their understanding of all aspects of the provision of telerehabilitation services, including: patient safety, provision of effective care and treatment virtually, proper documentation and billing, and compliance with all regulatory requirements. Self-paced practice sessions are required prior to completing and passing a practical examination to ensure the Kessler standard of care is met for environment, therapeutic alliance, assessment skills, utilization of high definition virtual exercise platform, patient reported outcomes and compliance standards and equal to the in-person center experience. Regular chart audits of all telerehabilitation-competent staff occur to ensure compliance of the program.