The Texas Living Will, otherwise known in the state as the “Directive to Physicians and Family or Surrogates”, is a tool that is proactively carried out by those wishing to express their desires regarding certain dire health care situations. When an individual is facing serious health complications and is no longer conscious, individuals in charge of the person’s well-being may struggle with what the right decision is regarding their care. With this document, a party can preemptively establish their preferences regarding end-of-life care, life-sustaining treatments, and any resuscitation efforts. All the declarant has to do is to provide their name, indicate their preferences, and sign the form in the presence of two (2) witnesses.

Other Versions (6)

• Baylor, Scott, & White (BSW) Health
• Spanish/Español
• Texas Catholic
• Texas Health
• Texas Hospital Association
• Texas Medical Association

Baylor, Scott, & White (BSW) Health Version

Download: Adobe PDF

 

 

 

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Spanish/Español Version

Download: Adobe PDF

 

 

 

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Texas Catholic Version

Download: Adobe PDF

 

 

 

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Texas Health Version

Download: Adobe PDF

 

 

 

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Texas Hospital Association Version

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Texas Medical Association Version

Download: Adobe PDF

 

 

 

Additional Resources

• Texas A & M – End-of-Life Documents

Related Forms (8)

• Advance Directive (Medical POA & Living Will)
• Advance Directive Wallet Card
• Appointment for Disposition of Remains
• Declaration for Mental Health Treatment
• Durable (Financial) Power of Attorney Form
• HIPAA Authorization to Disclose Protected Health Information
• Organ Donation Form
• Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order

Advance Directive (Medical POA & Living Will)

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Advance Directive Wallet Card

Download: Adobe PDF

 

 

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Appointment for Disposition of Remains

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Declaration for Mental Health Treatment (also available in Spanish/en Español)

Download: Adobe PDF
Laws: Adobe PDF

 

 

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Durable (Financial) Power of Attorney

Download: Adobe PDF, MS Word (.docx)

 

 

 

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HIPAA Authorization to Disclose Protected Health Information

Download: Adobe PDF, MS Word (.docx)

 

 

 

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Organ Donation Form

Download: Adobe PDF

 

 

 

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Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order

Download: Adobe PDF
Instructions: Adobe PDF (in Spanish/en Español)