Essentially, the only main difference between remote healings and in-person appointments is the physical presence of the client. I set up my room the same way, I set up the blankets and furs/pelts the same way, and I make sure that I have my stones, tools, drum, rattle, and other items.
But instead of having the client sit or lay down in the middle of my room, I use either a picture, or a stuffed animal to represent who I'm working on:
(I'm a big fan of monkeys, so I have many to choose from for remote appointments!)
And then I conduct the appointment, following the same guidelines learned in school or spontaneously given to me by my Spirits.
Because I am not directly interacting with my client, I may give guidelines over the phone/via email before the appointment, along with follow-up questions afterwards. I continue to give support, and the client works with his/her healing in the same way (as if s/he was in my room).
The greatest benefit of remote healing appointments is that they can be performed with a person who is not physically there. This is helpful for those with physical disabilities, travel restrictions, military personnel, young children, etc.