The coronavirus disease 2019 (COVID-19) pandemic thrust the United States into an unprecedented mental health crisis prompting the rapid emergence of telehealth as a critical platform for mental health service delivery. Government imposed safety precautions limiting face-to-face contact to control spread of infection contributed to isolation, fear of illness, death, job loss, and existing psychological distress. As remote service delivery continues to offer a viable alternative to traditional in-person care, the growing diversity of the U.S. population demands culturally competent mental health practices. Notably, multicultural and diversity issues and patient identity markers may not be as apparent through digital platforms as they would be in person. This article aims to provide culturally responsive recommendations for practitioners delivering telehealth services. (PsycInfo Database Record (c) 2022 APA, all rights reserved)