Abstract: Systems and methods for interactively sharing and annotating visual information over a communication network between at least a first and a second endpoint are disclosed. The system includes a display coupled to the first endpoint and a user interaction device coupled to the first endpoint and associated with the display, wherein the first endpoint is configured to: receive visual information from, and transmit visual information to, at least the second endpoint over the communication network; show visual information received from at least the second endpoint on the display; obtain a copy of the visual information shown on the display when instructed by the user interaction device; add an annotation, if any, as indicated by the user interaction device; and transmit the annotated copy to the second endpoint.