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Blank Living Will Form for Texas State

A Texas Living Will is a legal document that allows individuals to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This important form ensures that your healthcare choices are respected, providing peace of mind for both you and your loved ones. Ready to take control of your healthcare decisions? Fill out the form by clicking the button below.

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Table of Contents

Document Overview

Fact Name	Description
Definition	A Texas Living Will is a legal document that outlines a person's wishes regarding medical treatment in the event they become unable to communicate their preferences.
Governing Law	The Texas Living Will is governed by the Texas Health and Safety Code, specifically Chapter 166.
Eligibility	Any adult who is of sound mind can create a Living Will in Texas.
Requirements	The document must be signed by the individual and witnessed by two adults who are not related to the individual or entitled to any part of their estate.
Revocation	A Living Will can be revoked at any time by the individual, either verbally or in writing.
Healthcare Providers	Healthcare providers are required to comply with the directives outlined in the Living Will, as long as they are aware of the document.
Notarization	While notarization is not required for a Living Will in Texas, it can add an extra layer of authenticity to the document.

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Documents used along the form

When considering end-of-life decisions, it is important to have a comprehensive set of documents that reflect your wishes. Along with the Texas Living Will form, several other forms can help ensure your preferences are respected. Below is a list of some key documents that are often used in conjunction with a Living Will.

Durable Power of Attorney for Healthcare: This document allows you to appoint someone to make medical decisions on your behalf if you become unable to do so. It ensures that your healthcare choices are made by someone you trust.
Do Not Resuscitate (DNR) Order: A DNR order instructs medical personnel not to perform CPR if your heart stops or you stop breathing. This document is crucial for those who do not wish to receive aggressive life-saving treatments in certain situations.
Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that outlines your preferences for treatments at the end of life. It is intended for individuals with serious illnesses and is recognized by healthcare providers as a guide for care.
Advance Directive: This is a broader term that includes both the Living Will and the Durable Power of Attorney for Healthcare. It details your wishes regarding medical treatment and appoints someone to speak for you if you cannot communicate.
Organ Donation Registration: If you wish to donate your organs after death, this document allows you to express your consent. It helps ensure that your wishes regarding organ donation are honored.
Funeral Planning Documents: These documents outline your preferences for funeral arrangements, including burial or cremation, service details, and any specific requests. They can relieve your loved ones of difficult decisions during a challenging time.

Having these documents in place can provide peace of mind for both you and your loved ones. It is essential to communicate your wishes clearly and ensure that all necessary forms are completed and accessible. This proactive approach can help guide your family and healthcare providers in honoring your choices during critical moments.

Document Sample

Texas Living Will

This Living Will is designed to comply with Texas state laws regarding advance directives and end-of-life decisions. It outlines your wishes regarding medical treatment in the event you are unable to communicate your preferences.

Please fill in the blanks where indicated to personalize your Living Will.

1. Individual Information

Name: ____________________________

Date of Birth: _____________________

Address: __________________________

City, State, Zip: ________________

2. Designation of Health Care Proxy

I hereby designate the following individual to act as my health care proxy:

Name of Proxy: ____________________________

Relationship: ______________________________

Address: _________________________________

Phone Number: ___________________________

3. Declaration of Wishes

If I am in a terminal condition, persistent vegetative state, or should I suffer from an irreversible condition:

I wish to receive all medical treatment necessary to prolong my life.
I do not wish to receive any medical treatment that unnecessarily prolongs the dying process.
I wish to receive only comfort care and treatment to relieve pain and suffering.

4. Organ Donation

Upon my death, I wish to:

Donate my organs and tissues for transplantation.
Not donate my organs or tissues.

5. Signatures

Signature of Declarant: ___________________________

Date: ___________________________________________

6. Witnesses

This document must be signed in the presence of two witnesses who are at least 18 years old. They cannot be related to me by blood or marriage, nor can they be entitled to any part of my estate under a will or by operation of law.

Witness 1:

Name: ____________________________

Signature: ________________________

Date: _____________________________

Witness 2:

Name: ____________________________

Signature: ________________________

Date: _____________________________

This Living Will is made in accordance with Texas Health and Safety Code, Chapter 166.