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Hypermobile Ehlers Danlos (hEDS) Evaluations

Compassionate, evidence-based evaluations for hypermobility concerns.
Whether you're exploring the possibility of hypermobile Ehlers-Danlos syndrome (hEDS) or seeking a second opinion, I provide personalized support through clinical assessment and genetic counseling.

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Who This Is For:

An hEDS evaluation may be helpful if you:

  • Have joint hypermobility accompanied by chronic pain, fatigue, frequent dislocations, or other related symptoms

  • Have been told you “might have EDS” but haven’t had a thorough evaluation

  • Received a referral or suggestion from a provider, physical therapist, or specialist to explore a possible connective tissue disorder

  • Are experiencing a range of symptoms and want help understanding whether a connective tissue disorder—like hEDS or another genetic condition—could be contributing

  • Are looking for clear, supportive guidance on managing symptoms, understanding genetic testing options, or how to talk to other providers about your concerns

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What You Can Expect

Your hEDS evaluation is a thorough, supportive consultation — not a quick checklist. Every session is personalized and designed to give you clarity, guidance, and next steps that reflect your unique health history and concerns.

We’ll cover:

  • A detailed review of your medical, developmental, and family history

  • Clinical assessment of joint hypermobility using the Beighton Score and other relevant criteria (adapted for telehealth or performed in person if applicable)

  • Discussion of possible diagnoses, including hEDS, Hypermobility Spectrum Disorders (HSD), or other heritable connective tissue conditions

  • Review of genetic testing options when appropriate

  • A personalized summary of findings with guidance on symptom management, possible diagnoses, and referral recommendations to specialists if further evaluation is needed

Important to know:

While genetic counseling and testing can help rule out other conditions, the diagnosis of hEDS is often one of exclusion. A final diagnosis may require a multidisciplinary approach, including input from specialists such as rheumatology, cardiology, neurology, or others. I do not make direct referrals, but I can provide recommendations and guidance to help you

If You Choose to Pursue Testing

  • We’ll discuss which test(s) are most appropriate based on your goals and clinical context

  • I’ll coordinate testing through CLIA-certified, state-licensed laboratories that meet clinical-grade standards

  • You’ll submit a blood or saliva sample (depending on the type of test ordered) using a test kit mailed to you

  • We’ll schedule a follow-up consultation via phone or video to review your results and provide recommendations

    Timeline: From your initial consultation to results review, the process typically takes 2–4 weeks.

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Pricing & Billing

Session Fees

All sessions are conducted via secure telehealth.  In-person appointments are available for Bay Area clients by request. An additional fee may apply based on driving distance and will be determined on a case-by-case basis.

  • A detailed 60+ minute session that includes an in-depth review of your medical and family history, a clinical assessment, discussion of potential diagnoses and differentials, and an overview of relevant genetic testing options, when applicable.

  • A shorter session to go over genetic test results, update your care plan, or revisit specific concerns.

  • Recommended if you plan to pursue genetic testing or anticipate needing follow-up guidance.

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Access & Affordability

If cost is a concern, please don’t hesitate to reach out. I offer flexible payment arrangements, and I believe financial barriers should never prevent someone from accessing supportive, personalized care.

FAQs

  • I offer a thorough clinical assessment and can evaluate whether your symptoms meet the current diagnostic criteria for hEDS or a related condition. However, a formal diagnosis is often made as part of a broader, multidisciplinary process that may include input from specialists such as rheumatology, cardiology, or neurology. Genetics is just one part of the picture. I can help you understand where you fall within the diagnostic framework and provide referral recommendations if additional evaluation is needed.

  • The key difference is that most other types of connective tissue disorders — like classic EDS, Marfan syndrome, or Loeys-Dietz syndrome — have a known genetic cause that can be identified through testing. hEDS does not yet have a specific genetic marker, which means it is currently diagnosed based on clinical criteria after other conditions have been ruled out. As part of your evaluation, I can help determine whether genetic testing is appropriate to rule out other conditions and guide you through the diagnostic process.

  • I currently work with adults only for hEDS evaluations. Children and teens should begin with their pediatrician, who can refer them to the appropriate specialists for evaluation and care. If you're looking for pediatric resources, I’m happy to provide guidance or help point you in the right direction.

  • In-person visits are available for clients located in the immediate Bay Area. We’ll coordinate a convenient location, and an additional fee may apply based on travel distance. If you're interested in an in-person appointment, please reach out directly to discuss.

  • No referral is required. You can book an evaluation directly. If a provider or therapist has recommended an hEDS assessment, you’re welcome to include any notes or background when you reach out.

  • Genetic testing is billed separately by the laboratory. Genetic testing panels typically start at $250 for out-of-pocket costs, though the final price can vary depending on the type of test and your insurance coverage. Many labs also offer financial assistance programs to help reduce costs if insurance does not cover testing.

  • I don’t bill insurance directly, but many clients with PPO plans are able to receive partial out-of-network reimbursement. I can provide a superbill with the necessary codes upon request. Be sure to check with your insurance company to ask about coverage for CPT code 96040 (genetic counseling via telehealth).

Ready to explore whether hEDS could explain your symptoms?

Let’s connect and start your evaluation together.