According to the Centers for Disease Control and Prevention, 1 in 3 women and 1 in 4 men in the US have experienced violence from an intimate partner in their lifetime. 1 However, for many individuals, the COVID-19 pandemic and the resultant sheltering at home have increased levels of stress, panic, and financial and emotional strain. The World Health Organization defines intimate partner violence (IPV) as behavior by a partner, spouse, or ex-partner that can cause or causes physical, sexual, or psychological harm. 2 A United Nations report cited a global surge in IPV accompanying the stay-at-home and lockdown orders. 3 It is possible that IPV cases in many countries have significantly increased. While a recent JAMA Clinical Insights focused on recognizing and responding to IPV during in-person clinical care visits, 2 the context of IPV identification and supportive care approaches using telehealth modalities warrants attention.Telehealth and telemedicine have been defined by the Centers for Medicare & Medicaid Services as "the exchange of medical information from one site to another through electronic communication to improve a patient's health." 4 One of the transformative effects of the COVID-19 pandemic has been a substantial increase in telehealth use across many health care service disciplines. For example, in a survey of 3500 family physicians and pediatricians, only 12% worked in a practice that used telehealth in 2016, whereas more than 90% of primary care physicians offered telehealth after the first 2 months of the COVID-19 pandemic. 5 It is important to note that there have not been any large randomized trials evaluating the accuracy of identifying IPV in telehealth formats. However, there have been studies documenting acceptability and feasibility of trauma-informed, digitally delivered interventions focused on preventing violence to increase safety and decisionmaking of persons in abusive relationships and linking them to online support. 6 Thus, this move to telehealth has posed new challenges to both IPV screening and support. Namely, compromised privacy at home may enable a controlling partner to overhear responses to screening questions about IPV and become suspicious or even violent, and supportive care for IPV-related injury or provision of resources may require an in-person visit. To help facilitate access to and use of IPV screening questions and resource lists, it is recommended that "smartphrases" be created in the electronic health record.Because the experience of violence and trauma can affect physical, sexual, reproductive, and mental health, it is important to support clinicians in screening, identifying, and responding to IPV, including within the context of telehealth encounters such as those occurring during the COVID-19 pandemic. Often clinicians do not want to ask about IPV because of logistical concerns (eg, ensuring patient privacy), or they may not know how to address an affirma-Supplemental content Clinical Review & Education JAMA Insights