hEDS, HSD, and Connective Tissue Disorder Evaluations
Evidence-based evaluations for hypermobility and connective tissue concerns
Whether you're exploring hypermobile Ehlers-Danlos syndrome (hEDS), hypermobility spectrum disorder (HSD), or another connective tissue disorder, I provide a structured clinical evaluation, help clarify your diagnosis, and guide next steps for care and management.
Services Include:
Hypermobile Ehlers-Danlos syndrome (hEDS) / HSD Assessment: Clinical evaluation integrating the 2017 diagnostic criteria, with a detailed review of your personal medical and family history
Connective Tissue Disorder Workup: Review for other forms of EDS and related syndromes
Genetic Testing Coordination: Order appropriate testing through CLIA-certified labs
Genetic Test Result Interpretation: In-depth review of completed testing, including results from clinical and direct-to-consumer laboratories
Care Coordination and Referrals: Guidance on follow-up care, specialist referrals, and supportive services
What You Can Expect
A 90-minute session to review your medical, developmental, and family history
Clinical assessment for hypermobility and connective tissue features
Discussion and ordering of genetic testing when appropriate
A written assessment you can share with your providers
What You Receive
After your evaluation, you receive a written clinical assessment. It documents:
Your reported symptoms, medical history, and family history, gathered in one place
Your hypermobility assessment, including your Beighton score
Where your findings fall within the 2017 diagnostic criteria, and the reasoning behind that conclusion
My clinical impression, including anything the criteria do not account for
If criteria are not met, what your findings suggest, such as hypermobility spectrum disorder (HSD) or another connective tissue condition
Genetic testing recommendations
Recommendations for management and specialist referrals
If you go on to complete genetic testing, you also receive your lab report and a separate result note with my interpretation of it. Both are included in your initial evaluation and are not billed separately.
Follow-up appointments are optional.
How Testing Works
Genetic testing is ordered through state-licensed, CLIA-certified laboratories.
Depending on the test, you can have a blood draw at a local lab, schedule at-home phlebotomy, or use a mailed saliva kit.
Results are typically ready within 4 to 6 weeks of the lab receiving your sample. You receive your lab report along with a written interpretation from me
Pricing & Billing
Session Fees
Genetic testing is billed separately by the laboratory.
All sessions are conducted via secure telehealth.
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A 90-minute session with a detailed review of your history, clinical assessment, discussion of possible diagnoses, and genetic testing options when appropriate. Includes your written assessment and interpretation of any genetic testing ordered.
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Optional follow up if you want to review your results in more depth, revisit specific concerns, or review additional testing options.
Access & Affordability
If cost is a concern, don’t hesitate to reach out. I believe financial barriers should never prevent someone from accessing supportive genetic counseling services.
Not sure this is the right fit? Book a free 15-minute intro call.
Learn more about hEDS, HSD, and connective tissue disorders
These guides cover the basics before an evaluation.
The Ehlers-Danlos subtypes: symptoms, inheritance, and how common each is
FAQs
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I am unable to provide formal diagnoses. Genetic counselors are not physicians, so my role is to assess and document rather than diagnose.
hEDS has no genetic test, so it is diagnosed clinically. I do that full assessment and put the conclusion in writing, with my reasoning. Your physician enters the diagnosis, and the assessment gives them what they need. I do not prescribe or manage symptoms.
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Many people I see do not, and that does not mean nothing is wrong. Hypermobility spectrum disorder causes many of the same symptoms and needs much of the same management. Your evaluation covers HSD and other connective tissue conditions, not hEDS alone, and we discuss testing when your history points elsewhere. Either way, you leave with a written assessment.
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The key difference is that most other types of connective tissue disorders, like classic EDS or vascular EDS, 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.
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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.
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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.
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Genetic testing is billed separately by the laboratory. Panels typically start at $550 out of pocket, though the final price varies by test and by your insurance coverage. Many labs offer financial assistance programs if insurance does not cover testing.
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Yes. If you have completed testing through a clinical lab or a direct-to-consumer service, that can be the focus of your session. For direct-to-consumer results such as Sequencing.com, I can assess up to five variants. Send your report ahead through your intake paperwork.
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I am unable to bill insurance directly, but I can provide a superbill with the necessary codes on request. Ask your insurer about coverage for CPT code 96041, medical genetics and genetic counseling services.
Curious if hEDS or another connective tissue disorder could explain your symptoms?
Let’s start your evaluation together.