Early detection and early intervention significantly improves developmental outcomes for children with autism spectrum disorder (ASD), however, availability and access to trained professionals who provide diagnostic and clinical services for children with ASD are limited, particularly in rural areas. This project will evaluate the use of interactive television (ITV) in evaluation procedures for children suspected of having autism to ensure greater access to trained professionals. Investigators will employ telemedicine, a form of interactive television that uses real-time video conferencing for clinical purposes, on a cohort of participants consisting of 46 children ages 2-5 that are suspected of having ASD. Participants will be randomly assigned to interact with a lead psychologist via ITV or in person and assessed standard diagnostic scales (ADOS and ADI), fulfillment of the DSM-IV criteria for ASD, and overall diagnostic measures. Results of this study will be utilized to identify empirically validated practices for early detection of ASD in rural communities. Through the outcomes of this research, the identification of a reliable and valid protocol for ASD diagnosis via ITV would allow greater access to quality health care for individuals in rural and underserved areas, with greater access to early intervention and improved developmental outcomes.