Valid  Living Will Template for Texas

Valid Living Will Template for Texas

A Texas Living Will form is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate. This important form ensures that your healthcare preferences are respected, especially during critical moments. Understanding how to complete and utilize this document can provide peace of mind for you and your loved ones.

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In Texas, the Living Will form serves as a vital tool for individuals to express their healthcare preferences in the event they become unable to communicate their wishes. This document allows you to outline your desires regarding life-sustaining treatments, ensuring that your values and choices are respected even when you can't voice them. Major aspects of the form include specifying the types of medical interventions you wish to receive or decline, such as resuscitation efforts, mechanical ventilation, and tube feeding. Additionally, it addresses the appointment of a healthcare proxy, who can make decisions on your behalf if you are incapacitated. Understanding the importance of this form can provide peace of mind, knowing that your healthcare choices are documented and legally recognized. By taking the time to complete a Living Will, you empower your loved ones to make informed decisions that align with your wishes during difficult times.

Texas Living Will Sample

Texas Living Will

This Texas Living Will is created in accordance with Texas Health and Safety Code, Chapter 166. The purpose of this document is to outline your wishes regarding medical treatment in the event that you are unable to communicate your preferences. Please fill in the blanks as applicable.

Personal Information

  • Full Name: ____________________________________________
  • Date of Birth: ________________________________________
  • Address: _____________________________________________
  • City, State, ZIP: _____________________________________

Designation of Health Care Agent

I appoint the following individual as my Health Care Agent to make medical decisions on my behalf if I am unable to communicate:

  • Full Name of Agent: ___________________________________
  • Relationship to Me: _________________________________
  • Address: _____________________________________________

Living Will Declaration

If I am diagnosed with a terminal condition or am in a persistent vegetative state, I wish to express my preferences regarding treatment:

  1. I do not want life-sustaining treatment, and I wish to be allowed to die naturally.
  2. I want life-sustaining treatment to be provided as long as it can be effective.
  3. Other preferences (please specify): _____________________________________

Signature

By signing below, I affirm that I am of sound mind and that I voluntarily execute this Living Will.

Signature of Declarant: ________________________________________

Date: __________________________________________________________

Witnesses

This document must be signed in the presence of two witnesses who are not related to you and are not entitled to any portion of your estate.

  • Witness 1 Name: _________________________________________
  • Witness 1 Signature: ______________________________________
  • Date: _________________________________________________
  • Witness 2 Name: _________________________________________
  • Witness 2 Signature: ______________________________________
  • Date: _________________________________________________

This Texas Living Will is a legal document under Texas law. Please retain a copy for your records and share it with your Health Care Agent and family members.

Key takeaways

The Texas Living Will form is an important document that outlines an individual's wishes regarding medical treatment in the event they become incapacitated. Here are key takeaways to consider when filling out and using this form:

  • The form allows individuals to specify their preferences for life-sustaining treatment.
  • It is essential to discuss your wishes with family members and healthcare providers.
  • The document must be signed in the presence of two witnesses or a notary public.
  • Witnesses cannot be related to the individual or entitled to any part of their estate.
  • It is advisable to keep copies of the completed form in accessible locations.
  • Healthcare providers should be informed about the existence of the Living Will.
  • The form can be revoked or modified at any time, as long as the individual is competent.
  • State laws may change, so it is important to stay informed about any updates regarding Living Wills.
  • Consider consulting with a legal professional to ensure the form meets all requirements.
  • Having a Living Will can provide peace of mind for both the individual and their loved ones.