Due to the COVID-19 pandemic, most occupational therapists used telehealth technology to provide services, and many continue to do so. From a parent’s perspective, sitting with their child in front of the computer or any electronic device can be challenging. The lack of support and direction for parents/guardians/care partners of children with disabilities during telehealth occupational therapy (OT) sessions can create feelings of frustration and a sense of loss of control. These individuals may lack experience with hands-on therapeutic techniques or the education and training necessary to assist their child in successfully engaging in telehealth OT sessions. Successful Tips to Apply Regarding Telehealth Occupational Therapy (START OT) is an educational resource manual targeted toward increasing a parent/guardian/care partner’s confidence, competence, and perceived self-efficacy to work collaboratively with their child in the home environment. Some concepts that will be included in the START OT manual are telehealth orientation, suggestions on ways to set up the home environment with visual graphics, ideas on using household objects and furniture for fine and gross motor activities, and sensory strategies to improve attention and engagement.