A telemedicine service will be established for pediatric patients of Ravalli County, Montana, to provide medical home access to distant specialists, a new initiative in our community. Initially we will link to Seattle Children's Hospital for psychiatric care and autism management resources that are lacking in our area. The foundation for this relationship has been laid. Later a relationship with other specialists in Seattle and elsewhere will be established as needed. Health care providers in our area will be able to consult with academic pediatric specialists through South Valley Child and Family Center (SVCFC). This service will be linked to relevant educational programs for those caring for pediatric patients in the area and for parents. Selected experts will present and dialogue with locals, without distant travel, through tele-conferencing. State of the art facilities for telemedicine for diagnosis and consultation and for education will be available and a clinical model in place at SVCFC. Our families will be offered the opportunity for expert consultation and healthcare education without traveling long distances and family disruption.