ABSTRACT Objective This study investigated the implementation of teleaudiology in Malaysia's Special Education Service Centre (SESC), aiming to optimize audiological services. Design Using a cross-sectional design, the research compared the outcomes of audiological tests conducted via teleaudiology and traditional methods on deaf or hard of hearing (DHH) school-age children. Study Sample The study included 25 students for validation, 5 for reliability, and 5 educational audiologists and facilitators. Results The results demonstrated high validation and reliability values for video otoscopy, tympanometry, acoustic reflexes, and pure tone audiometry. Intra-rater reliability was consistently high. In terms of testing duration, the conventional approach took an average of 3.32 minutes longer than teleaudiology. Conclusion The successful implementation of teleaudiology in the SESC catered to the audiological needs of the DHH population and fostered professional collaboration, potentially benefiting educational audiologists.