Clinical Question: When assessing children's speech using a standardised speech assessment, is face-to-face better than telepractice to determine the presence and the nature of speech sound disorder? Method: Systematic Review. Study Sources: PsycInfo®, CINAHL, Scopus, PubMed, ERIC. Search Terms: telehealth OR telepractice OR telemedicine AND child AND speech. Number of Included Studies: 5. Primary Results: Conducting screening and assessment of children's speech sound development via telepractice may be appropriate, and comparable, to an assessment conducted in a traditional face-to-face setting. Ratings of intelligibility were comparable when completed in telehealth and face-to-face conditions (Waite et al., 2012) but some aspects of oral musculature assessment (OMA) screening may be less reliable when completed via telepractice. Similarly, high levels of agreement were reported during the comprehensive sampling of children's speech via telepractice or face-to-face. However, agreement between specific consonant errors was less accurate (Jessiman, 2003). Utilising a lapel microphone and ensuring good lighting and optimum camera positioning may increase the accuracy of speech assessments conducted via telepractice. Conclusions: Screening and standardised assessments of children's speech can be conducted successfully via telepractice when the SLP considers and plans for several factors, including: the nature of the data being collected (e.g., ratings of intelligibility, judgments of phoneme correctness, errors present in children's speech); the equipment available to support high-quality audio, video, and recording; and the other information collected about the child as a part of a comprehensive assessment. Recording the assessment task(s) will support review of transcription and analysis.