Medical Associates
of Middletown
Southwest Ohio Gastroenterology
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  • Home
  • About Dr. Gaeke
  • What is Gastroenterology?
    • Bacteria and Foodborne Illnesses
    • Barrett’s Esophagus
    • Celiac Disease
    • Constipation
    • Diarrhea
    • Diverticulosis and Diverticulitis
    • Gastroparesis
    • Helicobacter pylori and Peptic Ulcer
    • Hemorrhoids
    • Indigestion
    • Viral Gastroenteritis
  • Procedures
    • What is a colonoscopy?
      • Preparing for your colonoscopy
      • What are the stages of colon cancer?
      • What is a colon polyp?
    • What is an esophagogastroduodenoscopy (EGD)?
      • Preparing for your esophagogastroduodenoscopy (EGD)
  • Insurance Coverage
  • Forms
  • Resources

Forms

General Instructions for EGD

General Instructions for Colonoscopy

Colonoscopy Prep Using SUPREP®

Colonoscopy Prep Using HalfLytely®

Colonoscopy Prep Using PEG-3350

Do I qualify for a screening colonoscopy?

 

Patient Intake Form

Financial Policy

Referral Form

Request for Medical Records

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  • Medical Associates of Middletown

    42 N. Breiel Boulevard
    Middletown, OH 45042

    Tel: (513) 422-0024
    Fax: (513) 422-0232

    Office Hours

    Monday - Thursday: 9 AM to 5 PM
    Friday: 9 AM to Noon

    Patients are seen in the office on Tuesday and Thursday. Procedures are done on Wednesday and Friday.

Copyright ©2011, Medical Associates of Middletown
42 N. Breiel Boulevard, Middletown, OH 45042 - Tel: (513) 422-0024
After-Hours Answering Service: (513) 420-5110 (Urgent Only)
In case of emergency, call 911 or proceed to the nearest emergency room.