Application Submission

Once you submit your application, we will schedule a Zoom onboarding call with a member of our team to answer any questions you may have about working with our practice.

We are currently booking new patient visits in 2 months

Initial Visit (In-Person Required)

Location: Our office in St. Louis, Missouri

What to expect:

– 1 hour consultation with Dr. Twyman

– Comprehensive non-invasive arterial testing 

– Advanced laboratory testing drawn at our in office lab facility

Initial visit will require approximately 2.5-3 hours at our office

Follow-Up Visit

Your 1 hour results review appointment can be conducted either:

– In-person at our office

– Telemedicine via Zoom

Advanced Vascular Imaging (If Recommended)

We may recommend one or more of the following, which will be arranged at a nearby imaging center:

– CT Coronary Calcium Scan

– Cleerly CT Coronary Angiogram

– Echocardiogram

You will pay the imaging facilities directly for any fees involved for the imaging

Patient Eligibility

Please be advised that our practice does not accept insurance and does not participate with Medicare.

We are not currently accepting patients whose primary concern is a heart arrhythmia. However, we will consider applications from patients whose arrythmias are stable and well-controlled if they have other non-arrythmia related cardiovascular concerns.