A method and system for video relay service calling with audio monitoring is described. The method includes initiating a video relay service call, the video relay service call including a video portion between a sign language interpreter and a user who is deaf, hard-of-hearing, or speech impaired (D-HOH-SI); an audio portion between the sign language interpreter and a called party; and one or more call parameters. The method further includes determining whether one of the call parameters indicates that the video relay service call should be monitored; in response to determining that the video relay service call should be monitored, directing at least the audio portion of the video relay service call to an audio monitoring service so that the audio portion of the video relay service call between the sign language interpreter and the called party can be monitored by the audio monitoring service.