The Texas Advance Directive is a handy medical form for those seeking to preemptively declare their end-of-life health care preferences and assign a third-party representative to execute decisions in their name should they be unable to do so for themselves in the future. Basically, the form is a combination of the living will and medical power of attorney, ensuring that the executor covers all their bases for any possible health care scenarios where they may potentially wind up in critical condition. To guarantee a legally sound directive, the primary party will need to furnish the document with the essential details regarding their desired care, sign it within the indicated areas, and have their endorsements acknowledged by two (2) witnesses and/or a notary public.
This Document Contains:
- Medical Power of Attorney
- Directive to Physicians and Family or Surrogates (Living Will)
- Out of Hospital Do-Not-Resuscitate (OOH-DNR) Order
- Declaration for Mental Health Treatment
(If the executor does not want to include one of the above-listed documents, they may discard it from the content of the packet.)
Laws
Statute – Title 2, Chapter 166: Advance Directives
Definition – “Advance directive” means an instruction made to administer, withhold, or withdraw life-sustaining treatment in the event of a terminal or irreversible condition, an out-of-hospital DNR order, or a medical power of attorney (§ 166.002(1)).
Signing Requirements – Review the information below to find out what each section of the advance directive necessitates for signing:
- Medical Power of Attorney – Acknowledgment of Two (2) Witnesses or Notary Public (§ 166.154)
- Directive to Physician – Acknowledgment of Two (2) Witnesses or Notary Public (§ 166.032)
- Out-of-Hospital DNR Order – Must be signed by the declarant and attending physician. The declarant’s signature must be performed in the presence of two (2) qualified witnesses or a notary public (
- Declaration for Mental Health Treatment – Acknowledgment of Two (2) Witnesses or Notary Public ()
Other Versions (7)
- AARP (Caring Connections)
- Five Wishes (Aging with Dignity)
- Funeral Consumers Alliance
- Prepare for Your Care
- Professional Media Resources
- Spanish/Español
- Texas Catholic
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Five Wishes (Aging with Dignity) Version (must attach the required disclosure statement)
Download: Adobe PDF
Information: Adobe PDF
Funeral Consumers Alliance Version
Download: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Professional Media Resources Version
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Additional Resources
- Texas Catholic – Conscience Formation for End-of-Life Care
- Texas Health – Advance Care Planning FAQ (Spanish Version)
- Texas Health – Advance Care Planning Worksheet (Spanish Version)
- Texas Health – What You Need to Know About Advance Care Planning
- Texas Health – Your Right to Choose (Spanish Version)
- Texas RioGrande Legal Aid – Advance Directive Information
- Texas Tech University – Advance Directives FAQ
- UT Southwestern Medical Center – Advance Directives Brochure
Related Forms (5)
- Advance Directive Wallet Card
- Appointment for Disposition of Remains
- Durable (Financial) Power of Attorney Form
- HIPAA Authorization to Disclose Protected Health Information
- Organ Donation Form
Download: Adobe PDF
Appointment for Disposition of Remains
Download: Adobe PDF, MS Word (.docx)
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
HIPAA Authorization to Disclose Protected Health Information
Download: Adobe PDF, MS Word (.docx)
Download: Adobe PDF
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