H-EDS/JHS Assessment + DR Letter

What the H-EDS/JHS Assessment + DR Letter includes

This service is designed to help you move from “I think something is going on” to clear, usable information for your GP or specialist.

• A structured discussion of your symptoms, injury history, and patterns of joint instability
• Hypermobility scoring (for example, Beighton-style measures) recorded clearly for clinical use
• Review of associated features often reported with H-EDS/JHS (for example, frequent sprains, subluxations, chronic pain, poor recovery)
• Notes on functional impact, such as work, exercise, sleep, and daily tasks
• A concise written summary of findings in plain English
• A DR letter addressed to your GP that outlines the assessment results and the reason for referral or further investigation
• Signposting on sensible next steps, such as what to ask your GP and what evidence can help at follow-up appointments

Common reasons people book an H-EDS/JHS Assessment + DR Letter

• You have been told you are “very flexible” but you also have pain, repeated injuries, or instability.
• You are preparing for a GP appointment and want your symptoms documented clearly.
• You want support requesting a referral, for example to rheumatology, physiotherapy, or a hypermobility-aware clinician.
• You have a previous label like “JHS” and want a clearer summary of current symptoms and impact.

How the 30-minute H-EDS/JHS assessment appointment runs

You will be asked focused questions about your symptom history and how your joints behave in real life. The assessment includes simple movement checks to record hypermobility in a consistent way, alongside a review of key associated symptoms you report. The appointment ends with a clear explanation of what will be included in your written summary and DR letter.

After the appointment: using your DR letter effectively

Your letter is written to be practical for a GP, with specific findings and clear reasons for next steps. You can take it to an appointment, upload it to an eConsult system, or use it to support referrals and documentation. If you are waiting for NHS pathways, the written summary can also help you track symptoms and advocate for appropriate support.