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)