AESOP Chronic Pain Management Program serves patients who suffer from chronic non-cancer pain and helps them regain their quality of life.
Complete a pre-consultation questionaire and a social and medical history form.
Consult with our pain management specialist one on one to discuss your treatment options.
If we feel we can help you, you will receive a four-month supply of specalized medication.Signup Process
Welcome to Aesop- Chronic Pain Management Program. You have selected to begin the process of registering as a patient. Clicking on the continue link will bring you to the Secure Electronic Medical Records Interface.
By utilizing this site you are consenting to medical administration by electronic media
Continue to our Secure Electron Medical Records Interface
Continue to our Secure Electron Medical Records Interface
Paper Forms can be faxed to 972-692-6620
| Consent Form | Download |
| Pre-Consultation Questionnaire | Download |
| Patient Social and Medical History | Download |
| Refill Form | Download |
| Office Address: 2929 East 96th Street, Suite D, Indianapolis, IN 46240 | |||
| Members of: | |||
| American Medical Assocation | American Acadamy of Pain Medicine | Dun & Bradstreet | |
| Aesop CPMP complies with the requirements of Sec. 311 of HR 6353 Ryan Haight Online Consumer Protection Act , as well as 844 IAC 5-3-1 Et Seq | |||
Chronic Pain Management | Fibromyalgia Pain Management | Back Pain Managment | Arthritis Pain Management
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