Please read the form and instructions carefully before proceeding.
Medical power of attorney form texas pdf.
Texas medical power of attorney form is governed by the section 166 033 of the texas health and safety code and its purpose is to appoint an agent to make healthcare decisions on your behalf in case you are incapacitated to do so.
Texas medical power of attorney form allows a state resident to designate a loved one to take care of his or her health care decisions in the event he or she can no longer communicate his or her wishes before your agent can make decisions your doctor will have to certify that you are incapable of doing so yourself.
Please select a trustworthy agent as this legal instrument grants unopposed powers to the appointed agent to consent or refuse any and or all medical treatments in.
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Texas law now allows an option for a person s signature to be acknowledged by a notary instead of witness signatures and for digital or electronic signatures on the directive to physicians out of hospital do not resuscitate order and the medical power of attorney if certain requirements are met.
A physician can t be an agent and there are restrictions on choosing certain individuals professionally involved in the principal s health care.
Please have your attorney review the law in health and safety code chapter 166.
The texas medical power of attorney form allows a principal to name an individual to make all types of health care decisions on their behalf in the chance that they cannot do so because of mental incapacity.
Advance directives act 166 163 health and safety code permit you to issue texas medical power of attorney to appoint an agent to make health care decision for you when you are declared incompetent to do so by a physician in writing.
Please select a trustworthy agent as this legal instrument.
The situation that would require this could be due to any type of incapacitation events such as a coma vegetative state or any type of mental.
Health care facility or of any parent organization of the health care facility.
Or 7 a person who at the time this medical power of attorney is executed has a claim against any part of your estate after your death.
A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves.
Texas power of attorney forms.
Texas medical power of attorney form is governed by the section 166 033 of the texas health and safety code and its purpose is to appoint an agent to make healthcare decisions on your behalf in case you are incapacitated to do so.
By signing below i acknowledge that i have read and understand the information contained in the above disclosure statement.
Texas power of attorney forms enables an individual to choose a trusting person called an agent or attorney in fact to make financial medical parental guardianship minor child and vehicle related decisions on their behalf.
