Literacy clinics have a long history of providing supplemental assessment and instruction to students with literacy needs, but they were tested during the COVID-19 pandemic, as many pivoted from a face-to face format to three-way remote learning. This study provides a window into how literacy clinics at this moment of transformation in education embraced, and in some cases were challenged by, technology. A survey was administered in spring 2021 to a sample of 58 literacy clinic directors from the United States, Canada, Brazil, Bolivia, The Netherlands, and Australia. Data analysis included quantitative descriptive and inferential statistics reporting on the use of technological platforms and resources, clinic settings, and the format of clinics, before, during, and anticipated after pandemic. Results suggest that clinicians retained some traditional instruction methods while moving some components to digital spaces. Qualitative analysis included (a) coding, (b) creating categories, and (c) developing profiles of respondents based on their prepandemic and postpandemic instructional delivery format. Survey responses conveying the challenges and opportunities of online instruction are discussed in accordance with technology, pedagogy, and content knowledge. This research captured the precipice of institutional change as literacy clinics responded to the pandemic and then recalibrated their intentions for the future.