<p>This paper explores the impact of a virtual geriatric psychiatry consultation service for rural older Veterans with cognitive and mental health disorders on clinicians referring Veterans to the service and the Veterans’ family caregivers. In the model utilized, a geriatric psychiatrist delivers virtual consultative care with time-limited follow-up, making treatment recommendations but not assuming patient care. Fifteen referring clinicians (<i>n</i> = 3 physicians, <i>n</i> = 6 non-physician prescribers, <i>n</i> = 4 psychologists, <i>n</i> = 1 social worker, <i>n</i> = 1 registered nurse) and seven caregivers (<i>n</i> = 6 spouses, <i>n</i> = 1 adult child) participated in semi-structured interviews about their consultation experiences. The authors summarized interviews using rapid qualitative analysis techniques and applied Fortney’s access to care model as a guiding framework for analysis. Analysis identified two components from interviews with referring clinicians and caregivers using Fortney’s model as a reference: perceived access to care and satisfaction with care. The service provided specialty care to areas previously lacking geographic access, improved temporal and digital access, and had high acceptability. Analysis also yielded a unique theme extending beyond the model: education and empowerment of clinicians and caregivers. Referring clinicians and caregivers reported feeling more knowledgeable and confident in providing care for Veterans with cognitive and mental health disorders after receiving education from the geriatric psychiatrist providing consultation services. Limitations of the service centered around restrictions on medication prescribing due to the consultative care approach. Both referring clinicians and caregivers reported experiencing positive impacts from the high-quality care delivered through the consultation service.</p>