This chapter explores the transformative role of telemedicine in primary care neurology, particularly as remote consultations become more integral to managing chronic neurological conditions. Telemedicine allows patients with Parkinson’s disease, epilepsy, chronic headaches, and other conditions to access timely care without extensive travel, increasing patient satisfaction and easing caregiver burden. Verbal communication skills have become crucial for the medical professionals, as physical examinations are limited in remote settings. Despite these challenges, telehealth enables continuous symptom monitoring and early intervention through tools like telestroke, which aids acute stroke care in primary settings. Future advancements in telehealth, such as AI-enhanced diagnostics and wearable technology for real-time monitoring, promise to refine remote neurology further. Expanded infrastructure and specialized telemedicine training for providers will be essential to address limitations in physical assessments and diagnostic accessibility. With these developments, remote consultations are set to become a fundamental component of primary care neurology, enhancing accessibility, efficiency, and continuity in patient management.