(Subscription required) In the summer of 2021, as COVID case numbers ebbed and vaccination rates shot up, Nicole Ruzek, the director of UVA’s Counseling and Psychological Services, saw the “writing on the wall”: When students returned to in-person classes in the fall, demand for in-person counseling services would rise again. UVA’s counseling center contracted with TimelyMD – the Texas-based telehealth company that runs TimelyCare – in the fall of 2021.