KUCDD faculty have conducted health care screening and evaluation and educational diagnosis to 92 children with DD and their families who live in rural Kansas through the Rural Telemedicine Clinics. These clinics have been very cost-effective for families. Many families have to drive over five hours to obtain specialty interdisciplinary services which are costly in time and travel expense. We have had some families who do not have a car or other ways to get to needed services. Some children have gone without needed diagnosis and treatment for years.