Fillable Living Will Template for Texas State Access Your Form

Fillable Living Will Template for Texas State

A Texas Living Will form allows a person to outline their preferences for medical treatment in situations where they can no longer make decisions for themselves. It acts as a guide for family and healthcare providers, ensuring that one's healthcare wishes are honored even when they're unable to communicate. To give yourself peace of mind and make your healthcare wishes known, consider filling out a Texas Living Will by clicking the button below.

Access Your Form
Outline

When considering the future and how to best ensure your wishes are respected in times of medical uncertainty, the Texas Living Will form stands as a vital tool. This legal document, also known as an Advance Directive, allows individuals to outline their preferences for medical treatment in the event that they become unable to communicate their decisions. It covers a broad spectrum of decisions, from the acceptance or refusal of life-sustaining treatment to the desire for pain management and comfort care. The form empowers individuals by giving them a voice in their treatment, even when they can no longer speak for themselves, and it provides invaluable guidance to families and healthcare providers faced with difficult decisions. Furthermore, completing a Living Will encourages individuals to reflect on their values and wishes, facilitating important conversations with loved ones about end-of-life care. While the subject may be complex and often emotionally charged, the document itself is designed to be straightforward, ensuring that a person's healthcare preferences are clearly communicated and legally recognized within the state of Texas.

Document Preview Example

Texas Living Will Template

This Living Will is designed to be in compliance with the Texas Advance Directives Act. It serves as a declaration of the desires of the undersigned regarding medical treatment in the event that they become incapacitated and are unable to communicate their wishes.

Personal Information:

Name: ___________________________

Date of Birth: ___________________

Address: _________________________

City: ____________________________

State: TX

Zip Code: ________________________

Phone Number: ____________________

Declaration:

I, ____________________ [your name], residing at ____________________ [your address], being of sound mind, do hereby willfully and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and I do hereby declare:

  1. If at any time I should have an incurable condition caused by injury, disease, or illness certified to be a terminal condition by two physicians who have examined me, one of whom is my attending physician, and the physicians have determined that my condition is terminal and that the application of life-sustaining procedures would serve only to artificially prolong the dying process, I direct that such procedures be withheld or withdrawn, and that I be permitted to die naturally with only the provision of appropriate nutrition and hydration provided by palliative care only and comfort care.
  2. In the event that I am diagnosed to be in a persistent vegetative state, I direct that life-sustaining treatment, including artificially or technologically supplied nutrition and hydration, be withheld or withdrawn, except as necessary to provide comfort care.

Special Provisions and Limitations:

________________________________________________________________________

________________________________________________________________________

Appointment of Health Care Agent:

I designate the following individual as my Health Care Agent to make any and all health care decisions for me in accordance with this document in the event that I am unable to make my own health care decisions.

Name: ___________________________

Relationship: ____________________

Address: _________________________

Phone Number: ____________________

Alternate Agent (if the primary agent is unable, unwilling, or unavailable to act as my agent):

Name: ___________________________

Relationship: ____________________

Address: _________________________

Phone Number: ____________________

Signature:

This document is signed by me and declared to be my Living Will this ____ day of ________ [month], ________ [year].

__________________________________

Signature

__________________________________

Printed Name

Witnesses:

The undersigned affirm that the declarant is personally known to us, that the declarant signed or acknowledged this Living Will in our presence, and that the declarant appears to be of sound mind and under no duress, fraud, or undue influence.

1. Witness:

Name: ___________________________

Address: _________________________

Signature: ________________________

Date: ____________________________

2. Witness:

Name: ___________________________

Address: _________________________

Signature: ________________________

Date: ____________________________

Notarization (if applicable):

This document was acknowledged before me on this ____ day of ________ [month], ________ [year], by ____________________ [name of declarant].

__________________________________

Notary Public

My Commission Expires: ___________

File Details

Fact Description
Definition A Texas Living Will is a legal document that lets individuals outline their medical care preferences in the event they become unable to make decisions for themselves.
Governing Law The Texas Advance Directives Act, found in Chapters 166.031 through 166.052 of the Texas Health and Safety Code, governs living wills in Texas.
Requirements It must be signed by the declarant, or another person on the declarant’s behalf, in the presence of two witnesses or acknowledged before a notary public.
Witnesses At least one of the two required witnesses cannot be a person who is a health care provider or an employee of a health care facility in which the declarant is a patient.
Validity Across States While some states may honor a Texas Living Will, it is advised to create new documents compliant with the laws of the resident state if residency changes.
Revocation An individual can revoke their Texas Living Will at any time and in any manner that communicates intent to revoke, without regard to their mental state or ability to make health care decisions.
Scope of Decision Making The form allows individuals to make decisions regarding the acceptance or refusal of medical treatment, including decisions about life-sustaining treatment when diagnosed with a terminal condition or irreversible condition.
Documentation and Storage Once completed, it is recommended the living will be provided to the individual’s physician, health care facility, and a trusted family member or friend.

Detailed Instructions for Filling Out Texas Living Will

After deciding to create a Living Will in Texas, it's important to accurately fill out the form. This document allows individuals to outline their preferences for medical treatment if they become unable to make decisions for themselves. Completing the Living Will form requires attention to detail to ensure that personal wishes are clearly communicated. Below, you’ll find a step-by-step guide to help you through the process.

  1. Gather all necessary information including full legal name, address, date of birth, and social security number.
  2. Review the entire form before you start writing to understand the sections and information required.
  3. Start by filling out your personal information at the top of the form. This usually includes your name, address, date of birth, and sometimes your social security number.
  4. In the section designated for medical treatment decisions, clearly state your preferences regarding life-sustaining treatment, artificial nutrition, and hydration.
  5. If you have specific wishes regarding pain relief, make sure to detail them in the appropriate section. This ensures that comfort is prioritized even if other treatments are declined.
  6. Choose a healthcare agent (also known as a medical power of attorney) whom you trust to make medical decisions on your behalf if you're unable to do so. Include their name, relationship to you, and contact information.
  7. Review the form with your healthcare agent to ensure they understand your wishes and are willing to act on your behalf.
  8. Sign and date the form in front of a notary public or according to Texas state law requirements for it to be legally valid. Depending on the state’s requirements, you may also need witnesses to sign.
  9. Keep the original signed copy of the Living Will in a safe but accessible place. Inform family members, your healthcare provider, and your healthcare agent of its location.
  10. Distribute copies to your healthcare agent, family members, and physicians to ensure your wishes are known and can be accessed when needed.

Once the Living Will form is completed, it marks a significant step in taking charge of your healthcare decisions. It provides peace of mind knowing your wishes will be respected, even if you’re unable to communicate them yourself. Remember to review and possibly update your Living Will periodically or after significant life events.

Your Questions, Answered

What is a Texas Living Will?

A Texas Living Will, also known as an Advance Directive, is a legal document that allows individuals to express their wishes regarding medical treatment in the event that they become unable to communicate these preferences personally. It specifically addresses scenarios where a person faces terminal conditions or irreversible comas, detailing the kinds of life-sustaining treatments they would or would not want to receive.

Who can create a Living Will in Texas?

Any competent individual who is 18 years of age or older, or a legally emancipated minor, can create a Living Will in Texas. It's important for the person creating the will (the principal) to fully understand the nature and significance of declaring their healthcare preferences through this document.

How does one create a Texas Living Will?

To create a Texas Living Will, the individual must complete a standardized form that complies with state law or meet with a legal professional to draft a document that accurately reflects their healthcare wishes. The document must be signed in the presence of two qualified witnesses or a notary public to be legally binding.

What are the requirements for witnesses in Texas?

In Texas, the witnesses to a Living Will must be adults. At least one of the witnesses cannot be:

  • A person designated to make a treatment decision on behalf of the principal,
  • A person related to the principal by blood or marriage,
  • A person entitled to any part of the principal’s estate after death,
  • The attending physician or an employee of the attending physician or healthcare facility if the employee is involved in providing direct patient care to the principal or is an officer, director, partner, or business office employee of the health care facility or of any parent organization of the health care facility.
This is to ensure impartiality and reduce the potential for conflicts of interest.

Can a Texas Living Will be revoked or amended?

Yes, a Texas Living Will can be revoked or amended at any time by the principal as long as they are mentally competent. Revocation can be done in several ways: by a written statement, by physically destroying the document, by verbal expression in front of a witness, or by creating a new Living Will. To amend a Living Will, a new document reflecting the changes must be made, following the same legal formalities as creating an original Living Will.

What decisions can be made with a Texas Living Will?

A Texas Living Will allows an individual to make decisions regarding the acceptance or refusal of medical treatments that could prolong life. This includes decisions about mechanical breathing, artificial nutrition and hydration, and other life-sustaining treatments. It does not allow for decisions about euthanasia or assisted suicide, as these are not permitted under Texas law.

When does a Texas Living Will become effective?

A Texas Living Will becomes effective when the principal is diagnosed as terminally ill or in a permanent vegetative state and is unable to communicate their healthcare wishes. A physician or medical team, in consultation with the family if available, will determine when the conditions outlined in the Living Will apply, thereby activating its directives.

Is a Texas Living Will different from a Medical Power of Attorney?

Yes, a Texas Living Will and a Medical Power of Attorney serve two distinct purposes. A Living Will outlines specific medical treatments the principal agrees or does not agree to undergo in certain situations. In contrast, a Medical Power of Attorney appoints another person (an agent) to make healthcare decisions on the principal's behalf under various medical circumstances, not limited to terminal conditions or irreversible comas. Both documents are important parts of advance healthcare planning.

Where should a Texas Living Will be kept?

After its creation, the Texas Living Will should be kept in a place where it can be easily accessed in an emergency. Copies should be given to the principal's physician, healthcare agent (if a Medical Power of Attorney exists), and close family members or friends. Some people also choose to register their Living Will with a state registry or an online database to ensure its availability when needed.

Common mistakes

When it comes to preparing a Texas Living Will, individuals often navigate the process with the intent to communicate their healthcare wishes. However, mistakes can be made, leading to unintended outcomes. Below are six common missteps to be mindful of:

  1. Not specifying details about life-sustaining treatments. Many people fail to provide enough detail about the types of life-sustaining treatments they would either want or wouldn't want. This can include mechanical ventilation, artificial hydration and nutrition, or other high-intensity medical interventions. Being clear and detailed is vital to ensure that your wishes are followed.
  2. Forgetting to update the document. Life circumstances change, and so might your decisions about healthcare. When significant life events occur, such as marriage, divorce, or a diagnosis of a chronic disease, reviewing and updating your living will is crucial to ensure that it reflects your current wishes.
  3. Failing to comply with Texas legal requirements. Each state has its own specific legal requirements for living wills, and Texas is no different. A common error is not adhering to these specifics, such as the necessity for witnessing or notarization. When these requirements are not met, the living will might not be legally binding.
  4. Overlooking the selection of a healthcare proxy. While a living will outlines your wishes, a healthcare proxy or power of attorney for healthcare is the person you designate to make decisions on your behalf if you cannot. Many people forget to appoint one or assume it’s included in the living will, which it is not. A separate form is usually needed for this designation.
  5. Keeping the living will inaccessible. If healthcare providers and your appointed agent cannot access your living will when needed, it cannot guide your care. Frequently, individuals place their living wills in safe deposit boxes or other secure locations that are not readily accessible in emergencies.
  6. Not discussing wishes with family or the designated agent. It is one thing to document your healthcare wishes, but another to communicate them. Feelings of discomfort can lead to avoiding these conversations. However, discussing your wishes with family and your appointed healthcare proxy can prevent confusion and ensure that your wishes are understood and respected.

Avoiding these mistakes can greatly improve the effectiveness of your Texas Living Will. By paying close attention to the details, keeping the document updated and accessible, and communicating openly with loved ones and your healthcare proxy, you can help ensure that your healthcare wishes are known and honored. Remember, preparing a Living Will is a responsible step towards ensuring your healthcare preferences are respected, even when you might not be able to express them yourself.

Documents used along the form

When preparing for the future, particularly regarding health care decisions, a Texas Living Will form is a crucial document that outlines your preferences for medical treatment if you're unable to communicate those wishes yourself. However, to ensure a comprehensive approach to estate and health care planning, several other documents are often used together with a Living Will. These forms work in conjunction to provide a clear, enforceable plan for your wishes, covering a range of scenarios from medical care to financial decisions. Here's a look at some of the key documents that are frequently paired with a Texas Living Will:

  • Durable Power of Attorney for Health Care - This document appoints someone you trust as your agent to make medical decisions on your behalf if you are incapacitated and cannot make those decisions yourself.
  • Medical Orders for Scope of Treatment (MOST) - MOST outlines a detailed plan for emergency medical care, focusing on patients with serious conditions; it translates your wishes into medical orders.
  • Do Not Resuscitate (DNR) Order - A DNR specifies that you do not want doctors to attempt cardiopulmonary resuscitation (CPR) if your heart stops or if you stop breathing.
  • Durable Power of Attorney for Finances - This legal document grants someone you trust the authority to handle your financial affairs if you become incapacitated.
  • Declaration of Guardian in Advance - It allows you to designate a guardian in advance, should you ever need one, to manage your personal and financial affairs.
  • Directive to Physicians and Family or Surrogates - Essentially another term for a Living Will, it documents your wishes regarding life-sustaining treatment if you're terminally ill or in a vegetative state.
  • HIPAA Release Form - This form permits healthcare providers to share your health information with designated individuals, ensuring your health care agent has access to necessary medical records.
  • Organ and Tissue Donation Form - Allows you to specify your wishes regarding organ donation upon death, potentially saving or improving the lives of others.
  • Revocable Living Trust - This document helps manage your property during your lifetime and distributes it upon your death, often allowing the estate to avoid probate.

Together, these documents create a protective framework for your health and assets, ensuring that your wishes are respected and followed, regardless of what the future holds. It's advisable to consult with legal and medical professionals when preparing these documents to ensure they accurately reflect your wishes and comply with Texas law. By taking this step, you can provide yourself and your loved ones with peace of mind, knowing that you have a well-rounded plan in place.

Similar forms

The Texas Living Will form is similar to other advance directives used across the country, but there are specific documents it closely relates to in terms of purpose and content. These include the Medical Power of Attorney, the Do Not Resuscitate (DNR) Order, and the Physician Orders for Scope of Treatment (POST). Each document has its unique role in a person's healthcare planning, yet they all serve to communicate the individual's preferences concerning medical treatment and end-of-life care.

Medical Power of Attorney: This legal document is quite similar to a living will, primarily in its function to ensure an individual's healthcare preferences are respected. Unlike a living will that specifically addresses life-sustaining treatment when a person is terminally ill or permanently unconscious, a Medical Power of Attorney appoints another person to make healthcare decisions on behalf of the individual if they become unable to do so themselves. The similarity lies in the proactive approach to managing healthcare decisions, ensuring that the individual's wishes are known and considered.

Do Not Resuscitate (DNR) Order: A DNR order is another document closely related to a living will; however, its scope is more narrow. While a living will covers a broad range of life-sustaining treatments, a DNR specifically instructs healthcare providers not to perform cardiopulmonary resuscitation (CPR) if a person's breathing stops or if their heart stops beating. Both documents are crucial in directing healthcare providers regarding the treatments an individual wishes to reject.

Physician Orders for Scope of Treatment (POST): Similar to a living will, a POST form also guides medical treatment at the end of life. The key difference is that the POST is a medical order signed by a healthcare provider, based on conversations about the patient's goals, values, and preferences for end-of-life care. It is intended for seriously ill or frail individuals for whom a healthcare provider would not be surprised if they died within the next year. While the living will expresses a person's preferences in more general terms, the POST provides specific medical orders to be followed by healthcare workers.

Dos and Don'ts

When completing the Texas Living Will form, a set of guidelines can make the process smoother and ensure your wishes are clearly understood. Here are the do's and don'ts to consider:

Do:
  1. Review the entire form before starting to fill it out, ensuring you understand each section and what is required.

  2. Use clear and precise language to articulate your wishes, avoiding any ambiguity that could lead to interpretations you did not intend.

  3. Consult with a healthcare professional if you have questions about medical terms or treatments mentioned in the form.

  4. Sign and date the form in the presence of the required witnesses or a notary public, as stipulated by Texas law, to validate the document.

Don't:
  1. Leave any sections blank; if a question or section does not apply to you, write “N/A” (not applicable) to indicate this.

  2. Use terms or references that only a few people would understand; stick to clear and universally understood language.

  3. Forget to discuss your living will with family members, healthcare agents, and primary care physicians to ensure they know your wishes and where the document is kept.

  4. Assume that once completed, no changes can be made; you can revise your living will at any time to reflect your current wishes, but be sure to properly execute any new document according to Texas law.

Misconceptions

Living wills are essential documents that help communicate your wishes regarding medical treatment if you are unable to make decisions for yourself. However, there are several misconceptions about the Texas Living Will form. Understanding these misconceptions can ensure that your healthcare preferences are accurately recorded and respected.

  • Misconception 1: A living will is only for the elderly.

    This is not the case. While it's often recommended that older adults prepare a living will, people of all ages can benefit from having one. Unexpected medical situations can arise at any time, and having a living will ensures that your healthcare preferences are known, regardless of your age.

  • Misconception 2: You need a lawyer to create a living will.

    It's a common belief that you must hire a lawyer to draft a living will, but this is not necessarily true. Texas provides resources and forms that allow individuals to create their own living wills. However, consulting with a legal professional can help ensure that the document meets your specific needs and is filled out correctly.

  • Misconception 3: A living will covers all end-of-life decisions.

    Many people think a living will addresses all possible end-of-life care decisions, but its scope is actually more limited. A living will typically covers decisions about life-sustaining treatments, such as whether to use ventilators or feeding tubes if you are terminally ill and unable to communicate. Other end-of-life decisions, such as organ donation or funeral arrangements, are not covered by a living will.

  • Misconception 4: Once you create a living will, you cannot change it.

    This misconception can deter some from creating a living will. In reality, you can update or revoke your living will at any time as long as you are mentally competent. It's a good practice to review and possibly revise your living will periodically, especially after significant life events.

  • Misconception 5: A living will is the same as a medical power of attorney.

    Although both documents are used for healthcare planning, they serve different purposes. A living will documents your wishes regarding life-sustaining treatment, while a medical power of attorney allows you to designate someone to make healthcare decisions on your behalf if you're unable to do so. It's beneficial to have both documents as part of your healthcare planning.

Key takeaways

The Texas Living Will, officially known as the Directive to Physicians and Family or Surrogates, is an essential document for anyone who wants to make their healthcare preferences known in the event they can no longer communicate their wishes. This document allows an individual to specify what types of medical treatment they do or do not want to receive at the end of their life, ensuring their medical care aligns with their wishes. Here are four key takeaways to keep in mind when filling out and using the Texas Living Will form:

  • Understand the purpose: The primary goal of this document is to convey your wishes regarding life-sustaining treatments. These include decisions about receiving or not receiving treatments that would only prolong the process of dying if you are in a terminal condition or an irreversible coma.
  • Choose witnesses carefully: When you sign your Texas Living Will, you'll need two qualified witnesses or a notary public to witness your signature. The witnesses must be adults, and at least one of them should not be a person who stands to inherit anything from you or is responsible for your medical bills, to avoid any potential conflict of interest.
  • Discuss it with your physician: Once completed, it’s important to have a conversation with your physician about your Living Will. Your doctor can ensure that your instructions are clear and can be followed under Texas law. This document should then be added to your medical records.
  • Make it accessible: For your Living Will to be effective, it needs to be readily accessible to your healthcare providers in an emergency. Make copies and give them to your healthcare agent (if you have designated one), family members, and possibly your lawyer. It’s also wise to keep a digital copy that can be accessed when needed.
Please rate Fillable Living Will Template for Texas State Form
4.7
(Superior)
199 Votes

Fill out More Living Will Templates for Different States