How care at Hypermobility Hub Works

Hypermobility Hub specializes in comprehensive evaluation and care planning for individuals with hypermobility spectrum disorders, Ehlers-Danlos syndromes (EDS), and complex connective tissue conditions. Services include in-depth diagnostic assessments, telehealth consultations, second opinions, and ongoing care navigation designed to support patients with multisystem symptoms, chronic pain, joint instability, and autonomic dysfunction.

  • Step 1: Choose the right evaluation

    All patients begin with a structured clinical evaluation (Tier 1 or Tier 2), ensuring appropriate assessment and care planning

    Tier selection is based on complexity — both Tier 1 and Tier 2 are available via telehealth or in-person (when appropriate).

    Step 2: Receive a clear, written plan

    Every evaluation includes education, recommendations, and next steps tailored to your presentation and goals.

    Step 3: Add ongoing support (Optional)

    Patients who need continued guidance between visits may enroll in Care Navigation for structured, ongoing support.

    • Extended appointment times

    • Trauma-informed, dismissal-free care

    • Expertise in hypermobility and EDS

    • Emphasis on function, quality of life, and coordination

    • Transparent pricing and boundaries

    This practice is intentionally designed for patients who need time, clarity, and continuity

  • Care Navigation is available after an initial evaluation and provides structured access and coordination for patients with ongoing needs.

    This service is ideal for individuals who:

    • Have complex or multisystem involvement

    • Feel overwhelmed managing multiple providers

    • Need guidance during system flares

    • Benefit from continuity and structured follow-up

    Care Navigation does not replace scheduled visits or emergency care..

  • Choosing the right starting point can feel overwhelming — especially if you’ve been dismissed or given conflicting information in the past. The guide below can help you decide.

    Choose Tier 1: Essential Hypermobility Assessment ($350) if you:

    • Have a recent hEDS or HSD diagnosis and need guidance

    • Suspect hypermobility and want expert input before extensive testing

    • Are seeking validation, education, and next steps

    • Live out of state and need telehealth-only care

    • Have a limited budget but want specialty-level expertise

    Choose Tier 2: Comprehensive Hypermobility & EDS Evaluation ($600) if you:

    • Have complex or long-standing symptoms

    • Are seeking diagnostic clarity and a structured care plan

    • Experience chronic pain, instability, autonomic symptoms, or multisystem involvement

    • Have seen multiple providers without clear answers

    • Need referrals, care coordination, or formal documentation

    Consider Care Navigation (Monthly Retainer) if you:

    • Have frequent symptom flares

    • Feel overwhelmed coordinating multiple specialists

    • Need ongoing guidance between visits

    • Benefit from structured access and continuity

    • Want support navigating labs, imaging, PT, and accommodations

    Choose a Medical Case Review / Second Opinion if you:

    • Live outside of Florida

    • Already have testing completed and want expert interpretation

    • Are deciding between treatment options

    • Want clarity without establishing ongoing care

    If you’re still unsure, our team is happy to help guide you to the most appropriate service.

  • A Care Navigation retainer provides structured, ongoing support between scheduled visits for patients with hypermobility and EDS who need more than occasional appointments.

    Many patients with complex connective tissue disorders require:

    • Frequent clarification of next steps

    • Guidance during symptom flares

    • Help coordinating care across multiple providers

    Rather than handling these needs informally or reactively, Care Navigation creates a clear, ethical, and sustainable framework for ongoing support.

    What the Retainer Includes

    • Secure messaging access during business hours

    • Scheduled monthly check-ins

    • Review of labs or imaging obtained between visits

    • Coordination with physical therapy and specialists

    • Guidance during symptom flares and changes

    What the Retainer Does Not Include

    • Emergency or urgent care

    • Unlimited visits

    • New diagnostic evaluations without reassessment

    • Prescriptions, procedures, or services outside scope

    Care Navigation is optional, month-to-month, and available only after an initial evaluation.

  • Standard Care Navigation – $350/month

    Best for patients who:

    • Have moderate symptom complexity

    • Are relatively stable but benefit from regular guidance

    • Need periodic review and coordination

    Includes:

    • One scheduled monthly check-in (20–30 minutes)

    • Messaging support with standard response times

    • Limited documentation support

    Comprehensive Care Navigation – $500/month

    Best for patients who:

    • Have complex, multisystem involvement

    • Experience frequent or unpredictable flares

    • Require higher-touch coordination and advocacy

    Includes:

    • Priority messaging response times

    • More frequent asynchronous communication

    • Enhanced specialist coordination

    • Support with disability, accommodation, or medical necessity documentation

  • Hypermobility Hub

    Appointments at Hypermobility Hub are reserved specifically for you and include extended time for preparation, medical record review, and care planning. Because of this, the following policy applies to all appointments.

    Cancellations & Rescheduling

    • Appointments must be cancelled or rescheduled at least 48 hours prior to the scheduled start time.

    • Cancellations made less than 48 hours before the appointment will incur a 50% charge of the scheduled service fee.

    • Same-day cancellations (including those made on the day of the appointment) will incur a 100% charge of the scheduled service fee.

    No-Shows

    A no-show is defined as:

    • Failure to attend a scheduled appointment, or

    • Failure to log into a telehealth visit within 10 minutes of the scheduled start time without prior notice.

    No-shows will be charged 100% of the scheduled service fee.

    Late Arrivals

    • Patients arriving more than 10 minutes late may have their appointment shortened or rescheduled at the provider’s discretion.

    • Late arrivals may still be subject to the full appointment fee.

    Care Navigation Appointments

    • Missed or late-cancelled Care Navigation check-ins are considered completed services and are not refunded.

    • Monthly Care Navigation retainers are non-refundable once the billing cycle begins.

    Repeated Cancellations

    Repeated late cancellations or no-shows may result in:

    • Limited scheduling availability, or

    • Dismissal from the practice at the provider’s discretion.

Clinical Evaluation Services

Care & Consultation Pricing

At Hypermobility Hub, we believe in transparent pricing so patients can clearly understand the cost of care before scheduling.

To ensure a productive consultation, appointments at Hypermobility Hub are confirmed once payment and intake forms are completed prior to the visit. If these are not completed ahead of time, the appointment may need to be rescheduled.

Service Duration Cost Format

Tier 1 Consultation     45 minutes      $350    In-person or Telehealth

Tier 2 Consultation     90 minutes      $600    In-person or Telehealth

Tier 1 Follow-Up        30 minutes      $150    Telehealth

Tier 2 Follow-Up        60 minutes      $250    In-person or Telehealth

Hypermobility Hand Stability Assessment    45 minutes      $225    In-person

Care Navigation Plans (Optional Ongoing Support)

Plan Monthly Cost

Standard Care Navigation      $350 / month

Enhanced Care Navigation     $500 / month

These plans are designed for patients who benefit from structured ongoing guidance, care coordination, and regular telehealth check-ins.

A stethoscope with a red heart-shaped object resting on the chest piece sits on a wooden surface in a room with shelves and plants, illuminated by natural light.

  • This option is ideal for patients seeking expert guidance, validation, or a second opinion without the need for a full comprehensive evaluation.

    Includes:

    • Focused medical history and symptom review

    • Guided hypermobility screening including Beighton Scale

    • Review of prior diagnoses, labs, imaging, or genetic results (if available)

    • Education on hypermobility and self-management strategies

    • Written care recommendations and resource packet

    • 15-minute follow-up telehealth visit approximately 2 weeks later

    • Follow-up scheduled as needed

    Best suited for:

    • Recently diagnosed patients seeking management guidance

    • Patients with suspected hypermobility wanting expert input before pursuing further testing

    • Out-of-state patients seeking telehealth evaluation

    • Individuals with less complex presentations or limited budgets

  • This is the flagship service of The Hypermobility Hub and is designed for patients with moderate to complex presentations requiring in-depth assessment and coordinated planning.

    Includes:

    • Comprehensive medical history and symptom analysis

    • Detailed joint and functional assessment

    • Review of prior labs, imaging, and specialist records

    • Recommendations for appropriate laboratory testing or imaging (when applicable)

    • Comprehensive written treatment and care coordination plan

    • Referral guidance for physical therapy, specialists, or additional services

    • 15-minute follow-up telehealth visit (~2 weeks)

    • Follow up schedule determined at the end of consultation

    Best suited for:

    • Patients with suspected or confirmed EDS

    • Individuals with chronic pain, joint instability, autonomic symptoms, or multisystem involvement

    • Patients seeking diagnostic clarity and a long-term care strategy

  • Follow-up visit pricing is based on the type of initial evaluation completed:

    • Tier 1 Follow-Up — $150
      30-minute telehealth follow-up (for patients who completed a Tier 1 evaluation)

    • Tier 2 Follow-Up — $250
      60-minute follow-up (telehealth or in-person) (for patients who completed a Tier 2 evaluation)

    Note: Tier 1 and Tier 2 evaluations include the 2 week follow-up visits listed in each service description. The pricing above applies to additional follow-up visits scheduled beyond what is included in the description.

  • This service is designed for patients who require ongoing guidance, coordination, and support between scheduled visits. It is available after completion of a Tier 1 or Tier 2 evaluation.

    Care Navigation provides structured access and professional oversight—it does not replace scheduled clinical visits or emergency care.

    Includes:

    • Secure messaging access during business hours

    • One scheduled monthly check-in (20–30 minutes, telehealth)

    • Review of outside lab results or imaging obtained between visits

    • Coordination with physical therapy and other treating providers

    • Assistance with care plans, flare management guidance, and next-step planning

    • Limited documentation support (school/work notes, brief summaries)

    Best suited for:

    • Patients with moderate complexity

    • Individuals who benefit from regular guidance but have relatively stable symptoms

    • Patients seeking continuity without intensive coordination needs

  • This service is designed for patients who require ongoing guidance, coordination, and support between scheduled visits. It is available after completion of a Tier 1 or Tier 2 evaluation.

    Care Navigation provides structured access and professional oversight—it does not replace scheduled clinical visits or emergency care.

    Includes everything in the Standard Retainer, plus:

    • Priority messaging response times

    • More frequent asynchronous communication as needed

    • Enhanced coordination with multiple specialists

    • Review of complex or evolving medical records

    • Assistance with disability, accommodation, or medical necessity documentation

    • Proactive flare-planning and care escalation guidance

    Best suited for:

    • Patients with complex EDS presentations

    • Multisystem involvement (autonomic, neurological, GI, autoimmune overlap)

    • Frequent flares or rapidly changing symptoms

    • Individuals requiring higher-touch coordination and advocacy

    Retainer services do not include emergency care, unlimited visits, new diagnostic evaluations without reassessment, or procedural services.

  • This service is available to patients outside of Florida or individuals seeking an expert second opinion.

    Includes:

    • Comprehensive review of medical records provided by the patient

    • Diagnostic insight and clinical interpretation

    • Education regarding condition-specific considerations

    • Discussion of treatment options and care pathways

    This service is consultative and educational in nature and does not establish an ongoing treating relationship. No prescriptions or orders are provided.

  • Available to healthcare professionals seeking expert input on hypermobility and EDS-related cases.

    Common requests include:

    • Case reviews and diagnostic clarification

    • Rehabilitation and activity-modification guidance

    • Multidisciplinary care planning

    • Risk stratification and referral recommendations

    This service supports collaborative care and advances education within the healthcare community.

  • Individuals with hypermobility spectrum disorders and Ehlers-Danlos syndromes often experience instability in the small joints of the hands and fingers. This instability may lead to pain, fatigue, and difficulty performing everyday tasks.

    The Hypermobility Hand Stability Assessment is a focused evaluation designed to identify patterns of joint instability in the hands and provide personalized recommendations to help protect and support joint function.

    Cost

    $225 – Standalone Assessment

    For established patients, this service may also be available as a Hand Stability Add-On Assessment ($100) during a scheduled follow-up visit or care navigation appointment.

    Who May Benefit

    This assessment may be helpful for individuals experiencing:

    • finger joint hyperextension or instability
    • frequent finger sprains or joint pain
    • hand fatigue during writing, typing, or gripping
    • difficulty with fine motor tasks
    • hand weakness or reduced endurance
    • hypermobility affecting the fingers, thumbs, or wrists

    What the Assessment Includes

    During the visit we will perform a focused clinical evaluation of hand function and joint stability, which may include:

    • evaluation of finger and thumb joint stability
    • identification of hyperextension patterns or instability
    • functional hand assessment during common activities
    • recommendations for joint protection strategies
    • guidance on activity modification when appropriate
    • measurement for Silver Ring Splints when clinically appropriate

    If splints may be beneficial, we provide measurement and sizing guidance during the assessment.

    Patients purchase splints directly through the manufacturer, and pricing varies depending on the type of splint selected.

    Hypermobility Hub does not sell or distribute splints.

    • All services are self-pay and payment is due at the time of booking

    • Services are not billed to insurance

    • In-person services are subject to availability

    • Care Navigation retainers are month-to-month with no long-term commitment

Get Started

Telehealth Services

Hypermobility Hub offers telehealth services in accordance with state licensure laws.

Clinical telehealth services are provided only to patients who are physically located in states where Crystal Wade, AGACNP-BC, holds an active license at the time of the visit. Telehealth visits may include follow-up care, care coordination, and ongoing management when permitted by state regulations.

For individuals who reside outside of licensed states, educational consultations may be offered. Educational consultations are informational in nature and do not include diagnosis, treatment, prescribing, or ordering of tests.

Booking Expectations

Hypermobility Hub is designed for patients seeking thoughtful, comprehensive, and collaborative care. While we strive to be supportive and responsive, clear boundaries allow us to provide high-quality care sustainably and ethically.

Licensure & Scope of Care Notice

Hypermobility Hub provides services in accordance with Florida APRN practice regulations. Clinical services are available to Florida residents via in-person or telehealth visits, subject to licensure requirements.

Out-of-state services are limited to educational and consultative case reviews and do not establish an ongoing treating relationship.

Hypermobility Hub does not provide emergency care. Patients experiencing urgent or life-threatening symptoms should contact local emergency services.

Insurance & Payment Policy

Hypermobility Hub is a self-pay practice and does not bill insurance. This model allows for extended appointment times, comprehensive care planning, and individualized coordination without insurance restrictions.

Payment is due at the time of booking. Retainer services are month-to-month with no long-term obligation.