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Troubleshooting telehealth appointment issues

If you experience issues during a telehealth call, there are several troubleshooting steps you can take, in addition to confirming that your device and connection meet the necessary requirements.

In this guide, we’ll cover:

Note: If you’re new to telehealth, see Getting started with telehealth. You can also share the client version of this guide: Getting started with telehealth.


Identifying necessary equipment

To host high-quality telehealth sessions, you’ll need the following:

  • A computer (laptop or desktop)
    • Your computer should include:
      • An integrated or external microphone
      • An integrated or external web camera
    • We recommend that your computer:
      • Has a 2.5 GHz processor and 4 GB of RAM
      • Is a newer device purchased within the last two years
  • A mobile device
    • Can be used instead of a computer
    • We recommend iOS 13, Android 10, or newer
  • A reliable internet connection
    • Your connection should have:
      • A minimum bandwidth of 0.35 mbps
      • For best results, 10 mbps or higher
    • We strongly recommend:
    • If multiple clinicians are hosting telehealth calls simultaneously, we recommend bandwidth over 35 mbps

Note: If your device doesn’t meet these requirements, your telehealth quality may be impacted. See Preparing your operating system and browser for SimplePractice


Resolving general telehealth issues

If you’re using a laptop or desktop and have confirmed your equipment meets requirements, try the following:


Addressing waiting room discrepancies

If both you and your client see You are waiting for other participants to join…, this is often caused by a software conflict.

Telehealth waiting room screen showing a message that participants are waiting to join

VPNs, antivirus software, or browser extensions may block the waiting room connection.

You and your client(s) can try the following:

If you use NordVPN’s Threat Protection feature, it may block the waiting room connection.

Note: We can’t provide guidance for third-party service settings. Contact the third party directly for support.


Resolving audio issues

If you’re experiencing audio issues:

Hearing an echo

If you hear your own audio back as an echo, the issue is on your client’s side. If the situation is reversed, then the issue is coming from your side. If the echo is coming from your side, try the following steps to resolve the issue. If the echo is coming from your client's side, you can suggest they follow the steps be