Telerehabilitation offers a unique solution for continuity of care in pediatric rehabilitation under physical distancing . The major aims of this study were to: (1) describe the development of telerehabilitation usage guidelines in a large hospital in Israel, and to (2) evaluate the implementation of telerehabilitation from the perspectives of healthcare practitioners and families . An expert focus group developed guidelines which were disseminated to multidisciplinary clinicians . Following sessions, clinicians filled The Clinician Evaluation of Telerehabilitation Service (CETS), a custom-built feedback questionnaire on telerehabilitation, and parents completed the client version of the Therapist Presence Inventory (TPI-C) and were asked to rate the effectiveness of sessions on an ordinal scale . Four goals of telerehabilitation sessions were defined: (1) maintenance of therapeutic alliance, (2) provision of parental coping strategies, (3) assistance in maintaining routine, and (4) preventing functional deterioration . Principal Components Analysis was used for the CETS questionnaire and the relationships of CETS and TPI-C with child's age and the type of session were evaluated using Spearman's correlations and the Kruskal-Wallis H test . In total, sixty-seven telerehabilitation sessions, with clients aged 11.31 ± 4.8 years, were documented by clinicians . Three components (child, session, parent) explained 71.3% of the variance in CETS . According to therapists, their ability to maintain the therapeutic alliance was generally higher than their ability to achieve other predefined goals (p <0.01). With younger children, the ability to provide feedback to the child, grade treatment difficulty and provide coping strategies to the parents were diminished . Families perceived the therapist as being highly present in therapy regardless of treatment type . These results demonstrate a potential framework for the dissemination of telerehabilitation services in pediatric rehabilitation.