 The TelekidSec pilot study is evaluating the impact of using screen, sharing during genetic counseling sessions with English and Spanish speaking families from medically underserved communities. This study seeks to determine whether screen sharing can improve understanding of genetic testing results, satisfaction with the counseling session, and uptake of medical recommendations. Additionally, the study will measure the clinical utility, cost, and diagnostic yield of genome sequencing among these populations. This article was authored by Monisha Sabastin, Jekylline Ogis, Sabrina Asakil, and others.