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Texas Living Will

This Living Will is made in accordance with Texas laws, specifically Texas Health and Safety Code, Section 166.032.

Principal Information:

  • Name: __________________________________________
  • Date of Birth: _____________________________________
  • Address: _________________________________________
  • City, State, Zip Code: _________________________

Instructions: This document states your wishes regarding medical treatment in case you cannot communicate them due to illness or injury.

Part 1: Declaration

I, the undersigned, declare that if I have a terminal or irreversible condition and am unable to communicate, I wish to make the following choices:

  1. Allow the following treatments to be withheld or withdrawn: ____________
  2. Do not administer artificial nutrition or hydration: ___________
  3. Other specific wishes: _________________________________

Part 2: Appoint an Agent

If applicable, I appoint the following person to act on my behalf:

  • Name: __________________________________________
  • Address: ________________________________________
  • Phone Number: ___________________________________

Part 3: Signatures

This Living Will must be signed in the presence of two witnesses or a notary public.

Signature of Principal: _______________________________ Date: ____________

Witness 1: _________________________________________ Date: ____________

Witness 2: _________________________________________ Date: ____________

Note: Witnesses cannot be relatives, or individuals entitled to any part of the estate of the Principal.

Documents used along the form

A Texas Living Will is an important document that outlines an individual's wishes regarding medical treatment in the event they become unable to communicate. Alongside this form, several other documents can help clarify healthcare preferences and ensure that an individual's rights are respected. Here are five commonly used forms and documents that complement the Texas Living Will.

  • Medical Power of Attorney: This document allows an individual to designate someone else to make medical decisions on their behalf if they are unable to do so. It grants authority to the appointed person to act in the best interests of the individual regarding healthcare matters.
  • Mobile Home Bill of Sale: When transferring ownership of a mobile home, it is important to utilize the crucial Mobile Home Bill of Sale resources to ensure a smooth and legally compliant transaction.
  • Directive to Physicians: Also known as a "living will," this document specifies an individual's wishes regarding life-sustaining treatment. It provides guidance to healthcare providers about what types of medical interventions the individual wants or does not want in critical situations.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical order that prevents healthcare providers from performing cardiopulmonary resuscitation (CPR) if a person's heart stops beating. This document is crucial for individuals who wish to avoid aggressive life-saving measures in certain circumstances.
  • Organ Donation Consent: This document expresses an individual's wishes regarding organ and tissue donation after death. It ensures that healthcare providers and family members are aware of the person's desire to donate their organs to help others.
  • Healthcare Proxy: Similar to a medical power of attorney, a healthcare proxy designates a specific person to make healthcare decisions when the individual cannot. This document can be vital in situations where immediate decisions are necessary.

These documents work together to create a comprehensive plan for healthcare decisions. Having them in place can provide peace of mind for individuals and their families, ensuring that preferences are respected and followed during critical times.

Similar forms

A Living Will is an important document that outlines your wishes regarding medical treatment in the event that you are unable to communicate those wishes yourself. It shares similarities with several other legal documents that address health care decisions and end-of-life preferences. Here are six documents that are similar to a Living Will:

  • Durable Power of Attorney for Health Care: This document allows you to appoint someone to make medical decisions on your behalf if you become incapacitated. Like a Living Will, it focuses on health care preferences but emphasizes the role of a designated individual.
  • Advance Health Care Directive: This combines a Living Will and a Durable Power of Attorney for Health Care. It provides instructions for medical treatment and designates a person to make decisions, ensuring your wishes are respected.
  • Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR if your heart stops or if you stop breathing. It complements a Living Will by detailing your wishes regarding life-saving measures.
  • Durable Power of Attorney: This legal document empowers a principal to designate an agent to manage their affairs and make decisions on their behalf if they become unable to do so, and it remains effective even after the principal loses capacity. For more information, visit Durable Power of Attorney.
  • Physician Orders for Life-Sustaining Treatment (POLST): This is a medical order that outlines your preferences for treatments such as resuscitation and intubation. It is similar to a Living Will but is intended for individuals with serious health conditions.
  • Health Care Proxy: This document allows you to appoint someone to make health care decisions for you. While a Living Will expresses your wishes, a Health Care Proxy designates a trusted individual to interpret and act on those wishes.
  • Funeral Planning Declaration: This document outlines your wishes regarding funeral arrangements and burial or cremation. While it does not address medical treatment, it is part of planning for end-of-life decisions, similar to a Living Will.

Misconceptions

When it comes to planning for the future, many individuals have questions about the Texas Living Will form. Unfortunately, several misconceptions can lead to confusion. Below are five common misunderstandings about this important document.

  • A Living Will is the same as a Last Will and Testament. Many people believe these documents serve the same purpose. However, a Living Will specifically addresses medical decisions and end-of-life care, while a Last Will and Testament deals with the distribution of assets after death.
  • You can only create a Living Will when you are terminally ill. This is not true. Individuals can create a Living Will at any time, as long as they are of sound mind. It is advisable to prepare this document before a medical crisis occurs.
  • A Living Will can only be used in Texas. While the Texas Living Will is specific to the state, similar documents exist in other states. However, the laws and requirements may vary, so it’s essential to ensure compliance with local regulations if you move.
  • Your Living Will is set in stone and cannot be changed. This misconception is misleading. You have the right to modify or revoke your Living Will at any time, provided you are mentally competent to do so. Keeping your wishes up-to-date is crucial.
  • A Living Will guarantees that your wishes will be followed. While this document is a strong expression of your desires, it does not guarantee that all medical personnel will adhere to it. It is important to discuss your wishes with family members and healthcare providers to ensure everyone is on the same page.

Understanding these misconceptions can empower individuals to make informed decisions about their healthcare preferences. A well-prepared Living Will can provide peace of mind and clarity during challenging times.

Understanding Texas Living Will

  1. What is a Texas Living Will?

    A Texas Living Will is a legal document that allows individuals to outline their preferences for medical treatment in case they become unable to communicate their wishes due to a terminal illness or irreversible condition. It provides guidance to healthcare providers and loved ones about the type of medical care you wish to receive or refuse.

  2. Who should consider creating a Living Will?

    Anyone over the age of 18 who wants to ensure their medical treatment preferences are respected should consider creating a Living Will. This is especially important for individuals with serious health conditions or those who want to make their wishes clear to family and medical professionals.

  3. What are the key components of a Texas Living Will?

    A Texas Living Will typically includes:

    • Your personal information, including your name and address.
    • A statement of your medical preferences regarding life-sustaining treatments.
    • Instructions on whether to receive or forgo artificial nutrition and hydration.
    • Signature and date, along with the signatures of witnesses or a notary public.
  4. How do I create a Texas Living Will?

    To create a Texas Living Will, you can either use a template or consult with an attorney. Make sure to clearly state your wishes regarding medical treatment. Once completed, sign the document in the presence of two witnesses or a notary public to ensure it is legally valid.

  5. Can I change or revoke my Living Will?

    Yes, you can change or revoke your Living Will at any time as long as you are mentally competent. To make changes, simply create a new document or write a revocation statement. Be sure to inform your healthcare providers and family members about the changes to ensure they are aware of your current wishes.

  6. What happens if I do not have a Living Will?

    If you do not have a Living Will, your family and healthcare providers may have to make difficult decisions on your behalf without knowing your preferences. This can lead to disagreements among family members and may not reflect your wishes, which is why having a Living Will is so important.

  7. Is a Texas Living Will the same as a Durable Power of Attorney for Healthcare?

    No, a Texas Living Will and a Durable Power of Attorney for Healthcare are different documents. A Living Will focuses on your medical treatment preferences, while a Durable Power of Attorney designates someone to make healthcare decisions for you if you are unable to do so. You can have both documents to ensure comprehensive coverage of your healthcare wishes.

  8. Where should I keep my Living Will?

    It’s essential to keep your Living Will in a safe but accessible place. Consider giving copies to your healthcare provider, family members, and anyone designated to make decisions on your behalf. Make sure they know where to find it in case it’s needed.

  9. Can I still receive medical treatment if I have a Living Will?

    Yes, having a Living Will does not mean you will be denied medical treatment. It simply provides guidance on your preferences regarding life-sustaining treatments in specific situations. You will still receive appropriate care and treatment based on your medical condition and needs.