Vision foundation models (VFMs) have achieved strong performance across various vision tasks. However, it still remains challenging to apply VFMs for cross-domain few-shot segmentation (CD-FSS), which segments objects of novel classes under domain shifts using only a few labeled exemplars. The challenge is mainly driven by two factors: (1) limited labeled exemplars per novel class relative to the scale of VFM pre-training, making the model prone to overfitting during retraining, and (2) target-domain shifts underrepresented during pre-training, inducing cross-domain inconsistency and layer-wise sensitivity. To address these issues, we propose Hierarchical Exemplar Representation Adaptation (HERA), a three-stage select-regularize-calibrate VFM-based segmentation framework that learns effectively from limited labels and adapts to novel domains without source-data retraining. We first design Hierarchical Layer Selection (HLS) to adaptively identify the most informative VFM layer using a data-dependent Exemplar Transfer Risk (ETR) computed for each candidate layer. Then, Prior-Guided Regularization (PGR) regularizes interactions on the selected representation, yielding well-structured local signals for the subsequent stage. Furthermore, Pixelwise Adaptive Calibration (PAC) combines the selected representation with the refined interaction maps to calibrate pixel-wise predictions, producing consistent masks. Together, these stages form a hierarchical select-regularize-calibrate pipeline that guides frozen VFM features in new domains while fine-tuning less than 2.7% of parameters at test time. Extensive experiments show that HERA surpasses the state of the art by more than 4.1 mIoU across multiple CD-FSS benchmarks.