Request Medical Records

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 online, or printed and filled out by hand.  Remember to sign the form.

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

  • Submit your request by email: Email your completed request to:
  • Mail your request to:
    Advanced Pain Management – ATTN: CIOX
    4131 W. Loomis Road, Suite 300
    Greenfield, WI  53221
  • Fax your request to: (678) 214-3051
  • Drop off your request at any APM Location.

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.

If you would like to make a correction to your medical records, call the medical records department at (888) 901-7246, Option 3, and ask for an amendment form. This form can be faxed, mailed or picked up from any APM office. Once the completed form is returned to the medical records department, APM will discuss any requested changes with your medical provider(s). When a decision is made whether or not to make an amendment to a record, we will contact you.