Medical Records Requests 

Diagnostic Pain Center is committed to protecting patient privacy while ensuring timely access to medical records in accordance with Texas law. 

To request a copy of your medical records, a signed Medical Records Authorization Form is required. 

The Medical Records Authorization Form may be requested directly from our office. 

Requests may be submitted by: 
• Fax 
• Email 
• Mail 
• In Person 

Medical Records Department 
Phone: 512-981-7246 (Option 9) 
Fax: 512-981-7246 
Email: records@diagnosticpaincenter.com 

Mailing Address: 
Diagnostic Pain Center 
12176 N. Mopac Expy, Suite D 
Austin, TX 78746 

Please allow up to 15 business days for processing once a completed authorization form has been received. 

Requested records may be provided: 
• Electronically by secure email 
• By mail 
• In person for pickup 

A $25 processing fee may apply. 

For questions regarding your request, please contact our Medical Records Department directly.