Attempts to control COVID-19 pushed mental health providers to offer remote services to engage clients. This article discusses transitions in a student-led behavioral health clinic and has three aims: explore experiences transitioning to telehealth services, examine client mental health and quality of life outcomes, and compare client engagement through no-show and cancellation rates. This study is an evaluation and used a nonexperimental design. Data were collected from clinic students and faculty (n=21) and from clients (n=46). Data were analyzed using directed content analysis and univariate descriptive statistics. Students and faculty encountered few barriers moving services to telehealth. During a pandemic, client symptoms remained stable. No-show and cancellation rates declined following telehealth. Implications for student-led clinics and training are discussed.