At Advanced Pain Management, it is important to us that you have access to your medical records. We have partnered with Ciox Health to ensure your records are safe and delivered timely when requested.  We’ve made it convenient for you to request your medical records through one of these easy steps:

STEP 1: To request your medical records, download the Authorization for Disclosure of Protected Health Information Form.

STEP 2: Once downloaded, the form can be filled out electronically, or printed and filled out by hand.  Please remember to sign the form.  We are unable to accept e-signatures, stamps or a typewritten name.

STEP 3: Submit your request to APM through one of these three simple methods.

  • Submit your request by email: Email your completed request to:  You will receive receipt of the email request directly from CIOX.
  • Mail your request to:
    Advanced Pain Management ROI
    PO Box 19051
    Green Bay, WI  54307
  • Fax your request to: (678) 214-3051
  • For Questions, please call our CIOX Medical Records Team at: (414) 563-1200

The turnaround time to receive your medical records is typically 3-10 business days depending upon your request; however, we strive to complete your request as soon as possible.