Dr. Graham is an angel. He truly cares about his patients. He took care of everything, even set everything up with my surgeon of choice. He is extremely qualified, is licensed in Britain and the US, but stationed in the Philippines. If your doctor/endo/surgeon has any questions about online therapy, he will answer them. He has done this for a long time.
I spoke to him once a week, but he is flexible. He follows the SOC, but also takes individual circumstances into account. I received my HRT letter after 3 months with him, and my top surgery letter after 5 months.
I got a lot more out of this than I did with face-to-face gender therapy. It was really hard for me to talk about my issues in person. For some reason, I felt a lot of shame talking about this in person. But online, I felt comfortable. I could explain everything and not worry about being judged on my feminine appearance (which my last gender therapist did). Dr. Graham also said that he feels doing this online helps to take away any subconscious thoughts about the gendered appearance of the client. Online therapy removes any questions or thoughts about the person's appearance and just focuses on internal gender. My last therapist focused heavily on my appearance and inability to pass. With Dr. Graham I felt safe and anonymous.
Dr. Graham became a friend and advocate. Our chats and phone conversations were invaluable. I can't recommend him enough. Anyone with any questions about Dr. Graham or online gender therapy, please feel free to pm me.