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Laws
Statute – § 166.164
Definition – “Medical power of attorney” means a document delegating to an agent the authority to make health care decisions executed or issued under Subchapter D (§ 166.002(11)).
Signing Requirements – Acknowledgment of Two (2) Witnesses or Notary Public (§ 166.154)
Other Versions (5)
Download: Adobe PDF
Download: Adobe PDF
Download: Adobe PDF
Texas Hospital Association Version
Download: Adobe PDF, MS Word (.docx)
Texas Medical Association Version
Download: Adobe PDF
Additional Resources
- Texas Medical Association – Information for Patients
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)
Download: Adobe PDF
Appointment for Disposition of Remains
Download: Adobe PDF, MS Word (.docx)
Declaration for Mental Health Treatment (also available in Spanish/en Español)
Download: Adobe PDF
Laws: Adobe PDF
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
Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order
Download: Adobe PDF
Instructions: Adobe PDF (in Spanish/en Español)
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