Electrical stimulation systems and methods are configured to deliver remote electrical stimulation to a patient. Stimulation waveforms are employed that are designed to penetrate tissue within a patient to transmit the electrical stimulation from an origination site to a remote delivery site. The waveforms are defined by a series of pulses, which are characterized by a number of parameters, including pulse width, pulse frequency, constant voltage or constant current amplitude, and electrode polarity (anode or cathode). The waveforms include an envelope electrical stimulation pulse train including charge balanced pulses modulated by a high frequency carrier signal configured to deeply penetrate patient tissue to carry the electrical pulse train from an origination site to a remote delivery site.