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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