Texas Advance Directive Form

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Below is the information you'll need in order to obtain an Advance Directive in Texas, which is comprised of two separate documents.

Overview: In Texas you must fill out two separate forms to have a complete Advance Directive: A Living Will called a "Directive to Physicians and Family or Surrogates" and a "Medical Power of Attorney" (a.k.a. Health Care Proxy).

Required Information for the Living Will: You and two (2) witnesses must sign your TX Living Will for it to be considered valid. One of the two (2) witnesses CAN NOT be:

  • The person appointed as agent for the document
  • Related to the principal by blood or marriage
  • Entitled to any portion of the principal's estate on the principal's death
  • The attending physician of the principal or an employee of the attending physician
  • Have a claim against any portion of the principal's estate on the principal's death
  • Involved in providing direct patient care to the principal OR an officer, director, partner, or business office employee of the health care facility OR of any parent organization of the health care facility

Download the Texas Living Will Form Here

Required Information for Naming a Health Care Proxy: You and two (2) witnesses must sign your TX Health Care Proxy form for it to be considered valid. One of the two (2) witnesses CAN NOT be:

  • The person appointed as Agent (Proxy) for the document
  • Related to the principal by blood or marriage
  • Entitled to any portion of the principal's estate on the principal's death
  • The attending physician of the principal or an employee of the attending physician
  • Have a claim against any portion of the principal's estate on the principal's death
  • Involved in providing direct patient care to the principal OR an officer, director, partner, or business office employee of the health care facility OR of any parent organization of the health care facility

Download the Texas Health Care Proxy Form Here
(Via Texas Hospital Association)

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Advance Directives