Teletriage is a component of telehealth wherein patients or their families seek advice on their symptoms and whether, and how urgently, they should seek additional care. This article includes a narrative review and interviews with one American nurse and 15 Israeli pediatric physicians who practice teletriage. Despite the differences between provider profession and health care system, the same essential elements of safe teletriage were identified: specialized clinical training, electronic algorithms and protocols, documentation, and clinical call center standards.