Thank you for your interest in our gastroenterology practice! Advanced Digestive Care promises to be the place where you get the care you deserve. Dr. Hmoud works out of Garden City Hospital's Medical Office Building and holds clinic from 9:30AM - 2PM on Wednesdays. Please fill out this form to request an appointment or procedure and we'll get back to you as soon as possible! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date of Birth *Please include month, day and year.Phone Number *Please include area code. Insurance Primary Number Home Address *Primary Care or Referring Physician *Reason for Visit *Insurance Carrier (Primary) *Insurance Subscriber InformationIf different from the patient, please leave name and date of birth.Insurance Policy ID Number *May start with an alpha prefix. Please include all letters and numbers.Insurance Group NumberIf applicable.Are you interested in Telehealth Visits (via video call)?* * Yes No Not sure *Requires an internet connection and a device with both audio and video capabilities.Preferred Appointment Time Morning Afternoon Flexible Dr. Hmoud is available on Wednesdays for clinic visits. Please indicate what time of day you would prefer your appointment to be.Do you consent to receiving appointment reminders via SMS text message?* Yes, I consent to SMS text message reminders No, I do NOT consent to SMS text message reminders *By consenting above, you give permission to receive SMS text messages from Dr. Bashar Hmoud's office for appointment reminders and healthcare related notifications. You will typically receive up to 3 messages per week leading up to your appointment(s). Standard message and data rates may apply. This is NOT mandatory and you can opt-out at any time by replying "STOP."Submit
