Pain Refer a patient 325-326-3433Call or text
Patient resources
Everything you need before your visit.
Forms, portal access, secure messaging, and directions — so your appointment time goes to your care, not paperwork. Our office number takes calls and texts, so most questions can be handled without waiting on hold.
Locations & hours
Main Office
1925 Hospital Place
Abilene, Texas 79606
Phone & text 325-326-3433
Fax 325-378-9175
info@abilenepain.com
Memorial Drive Office
6819 Memorial Drive, Ste B
Abilene, Texas 79606
Phone & text 325-468-8096
Fax 325-378-9175
info@abilenepain.com
Care led by Ted Chaka, PA-C
Get directionsOffice hours
Monday – Thursday
8:00 am – 5:00 pm
Friday
8:00 am – noon
Closed Saturday & Sunday
Before your first visit
New patient forms
New patients are generally seen by referral — ask your primary care provider or specialist to fax a referral with your recent records and imaging to 325-378-9175, and we will call you to schedule. Your new patient paperwork is below, so you can complete it before your appointment — text or call us any time if you would like it sooner. Completing it early helps our team understand your history, previous treatments, medications, and goals for pain relief, but if that is not possible, we will have printed forms ready for you to fill out when you arrive.
Procedure handouts · Read about your specific procedure before your visit — 21 procedure guides.
Bring a photo ID, your insurance card, a current medication list, and any recent imaging reports.
Insurance · We accept most major plans, including Medicare, TRICARE, and commercial insurance. We do not accept Medicaid. Call us to verify your specific plan before your visit.
Patient Portal app
APPatient · iOS & Android
Messaging, appointment requests, refills, and medical history updates from your phone.
Patient Portal website
Desktop
Similar to the app with more features — best on a computer.
Spruce
HIPAA-compliant communication
Phone calls, messaging, and video visits sent directly to your phone.
Klara
Automated messaging
Appointment reminders and intake forms by secure text message.
New patient paperwork
Complete it before your first visit.
Fill the packet in on a computer and print it, or print it blank and complete it by hand. Bring it with you, along with a photo ID, your insurance card, and a current medication list.
On a phone the forms open for reading. To type into them, use a computer, or print them and fill them in by hand.
For your privacy, please do not email completed forms. Bring them to your visit. Uploading through the patient portal will be available once our portal is back online.
Packet · 7 forms · 8 pages
New patient packet
All 7 forms in one file, in the order we need them. Typed fields work in Adobe Acrobat and in Chrome or Edge on a computer.
Send yourself the link
What is in the packet
Each form is also available on its own.
- 01New patient registrationYour contact details, insurance, pharmacy, and emergency contact.Open · 1 page ↓
- 02Health and safety historyMedical and surgical history, medications, allergies, and safety questions.Open · 2 pages ↓
- 03Consent and acknowledgmentsConsent for treatment and the notices we are required to give you.Open · 1 page ↓
- 04Financial policyHow billing, missed visits, and balances are handled. Please initial each section.Open · 1 page ↓
- 05Our approach to opioid medicationsWhy we do not treat chronic pain with daily opioids, and what we do instead.Open · 1 page ↓
- 06Disability and work paperwork policyWhat paperwork we do and do not complete.Open · 1 page ↓
- 07Oswestry low back questionnaireHow your back pain affects daily activities, so we can measure your progress.Open · 1 page ↓
Questionnaires we may ask you to complete
Complete these only if our office asks. They help us understand how pain is affecting you.
- Depression screening (PHQ-9)Open · 1 page ↓
- Anxiety screening (GAD-7)Open · 1 page ↓
- Pain Catastrophizing ScaleOpen · 1 page ↓
For follow-up visits
Established patients can complete this before a follow-up visit.
- Pain follow-up check-in (PEG-3)Open · 1 page ↓
Only if you need it
Records forms, for when another office needs to send us records or you want us to release yours.
- Authorization to obtain recordsLets a prior provider or facility send us your records.Open · 1 page ↓
- Authorization to release informationLets us release your information to a person or organization you choose.Open · 1 page ↓
Patient portal
Manage your care from anywhere.
- View upcoming appointments
- Complete intake forms
- Review visit summaries
- Send and receive secure messages
- Update your medical history and medications
- Access lab results or imaging reports, if applicable
The portal is HIPAA-compliant and available 24/7 from your phone, tablet, or computer. If you need help logging in or resetting your password, call the office and we will be glad to assist.
APPatient — the mobile app
All the features of the portal on your phone, with push notifications: appointment reminders and check-ins, forms, secure messaging, insurance cards and photos, test results and treatment notes, telehealth visits, medications and refill requests.
Search "APPatient" in the App Store or Google Play, or ask our staff to send you the link.
Klara — reminders & forms by text
Your appointment time should go to your pain relief, not paperwork in the waiting room. Klara lets us communicate with you directly by text message — no app to download and no login to remember.
- Appointment reminders, with the option to cancel or reschedule
- Complete necessary forms from your phone or computer before you arrive
Which should you use?
Patient Portal · on a computer — best for completing forms, reviewing documents, and updating information.
APPatient app · on the go — best for messaging, check-ins, reminders, and reviewing instructions quickly.
Both systems are fully secure and HIPAA-compliant.
Referring providers
Send a referral
Fax referrals to 325-378-9175 — note the office you are referring to. We confirm receipt and schedule promptly, and we send notes back after every visit. Full referral guidance →
Questions
Talk to our team
Follow us on Instagram · practice news, new treatments, and what is happening at the clinic — @abilenepainclinic
Text or call 325-326-3433 for the Hospital Place office or 325-468-8096 for Memorial Drive, or email info@abilenepain.com.