This publication is designed to support health centers in using telehealth programs to increase access to patient care and services for LGBTQIA+ people. Telehealth, in which technology is used to provide health care services at a distance, has become an essential approach to providing patient care and services for underserved communities, including LGBTQIA+ people. Telehealth eliminates geographic restrictions, which increases access to providers who can provide culturally affirming and knowledgeable health care for LGBTQIA+ people. Although telehealth has the potential to improve health outcomes for LGBTQIA+ patients, considerations need to be made to ensure equitable access. The purpose of this publication is to educate health center staff on how to reduce barriers to LGBTQIA+ patient care by improving telehealth programming.