Homepage / Valid Living Will Form / Living Will Form for the State of Texas
Table of Contents

The Texas Living Will form is an essential document for anyone wishing to outline their medical preferences in the event they become incapacitated. It allows individuals to express their wishes regarding life-sustaining treatments and interventions. By using this form, a person can specify whether they want to receive or refuse certain medical procedures, such as resuscitation or mechanical ventilation. Importantly, the form empowers individuals to communicate their choices concerning end-of-life care, ensuring that their decisions are honored even when they cannot speak for themselves. This legal document not only provides clarity for family members and healthcare providers but also fosters peace of mind for those taking the proactive step to prepare for unexpected health situations. Ultimately, understanding and completing the Texas Living Will form can significantly impact the quality of care received during critical moments.

Texas Living Will Example

Texas Living Will Template

This Living Will is made pursuant to the Texas Health and Safety Code, Chapter 166.

By signing this document, I express my wishes concerning the nature of my medical treatment in the event I become unable to communicate my desires.

Personal Information:

  • Full Name: _______________________________________
  • Date of Birth: ____________________________________
  • Address: _________________________________________
  • City: ____________________________________________
  • State: Texas
  • Zip Code: _______________________________________

Declaration:

If I am diagnosed with a terminal condition, permanent unconsciousness, or if I am otherwise unable to make decisions regarding my medical treatment, I wish for my wishes to be respected. I declare the following:

  1. I do not want my life to be artificially prolonged if my attending physician determines that my condition is terminal.
  2. If I am in a state of irreversible comatose condition, I do not wish to receive life-sustaining treatments.
  3. All medical interventions should be aimed at providing comfort and preserving my dignity.

Signature:

By signing below, I affirm that I am of sound mind and understand the nature of this Living Will.

Signature: ___________________________________________

Date: ________________________________________________

Witness Information:

This document must be witnessed by two individuals who are not related to me by blood or marriage, and who will not inherit anything from my estate.

  • Witness 1 Name: __________________________________
  • Witness 1 Signature: ______________________________
  • Witness 1 Address: ________________________________
  • Witness 2 Name: __________________________________
  • Witness 2 Signature: ______________________________
  • Witness 2 Address: ________________________________

Notary Public:

State of Texas

County of _______________

On this ____ day of __________, 20____, before me personally appeared, known to me to be the person who signed this Living Will.

Notary Signature: ____________________________________

Notary Public, State of Texas

PDF Form Features

Fact Name Details
Governing Law The Texas Living Will is governed by the Texas Health and Safety Code, Chapter 166.
Purpose A Living Will allows an individual to outline their wishes regarding medical treatment in case they become unable to communicate those wishes.
Eligibility Any adult who is competent can create a Living Will in Texas.
Signatures Required The Texas Living Will must be signed by the individual and witnessed by at least two individuals who are not related to the individual by blood or marriage.
Revocation A Living Will can be revoked at any time by the individual, regardless of their mental state.
Compatibility with Other Documents A Living Will can be used alongside a Medical Power of Attorney for more comprehensive health care directives.
Storage and Access It is advisable to keep the Living Will in a safe place and ensure that family members and health care providers have access to it.
Duration The directives in a Living Will remain effective until revoked by the person who created it or at their death.

Guide to Using Texas Living Will

Completing the Texas Living Will form is an important step in making your healthcare wishes known. Once you fill it out, you will want to share it with your healthcare provider and loved ones to ensure your preferences are understood and respected.

  1. Start by obtaining a blank copy of the Texas Living Will form. You can find it online or request one from a healthcare provider.
  2. Read the instructions carefully to understand each section of the form.
  3. Fill in your full name at the top of the form. It is also necessary to provide your date of birth.
  4. Identify a healthcare agent if you wish to designate someone to make decisions on your behalf. If you prefer not to have one, you can skip this step.
  5. Clearly state your healthcare preferences in the appropriate section. Use specific language to express your wishes regarding life-sustaining treatments.
  6. Review your completed form to ensure all information is accurate and complete.
  7. Sign and date the form at the designated area. Make sure you sign it in the presence of at least two witnesses or a notary public, as required.
  8. Make copies of the signed document for your records and distribute copies to your healthcare provider and family members.

Get Answers on Texas Living Will

What is a Texas Living Will?

A Texas Living Will, also known as an Advance Directive for a Physician, is a legal document that allows individuals to outline their preferences regarding medical treatment in the event they become unable to communicate those wishes themselves. This form is specifically designed to provide guidance to healthcare providers and family members about the individual’s desires regarding life-sustaining treatments.

Who can create a Texas Living Will?

Any adult who is of sound mind can create a Texas Living Will. This means you must be at least 18 years old, and capable of making informed decisions about your health care. It is advisable that individuals carefully consider their values and wishes before filling out the form.

What types of decisions can I include in my Living Will?

In your Texas Living Will, you can specify preferences about various medical treatments, particularly regarding:

  • Life-sustaining measures such as mechanical ventilation or resuscitation.
  • Artificial nutrition and hydration.
  • Pain management and palliative care.
  • Other specific medical interventions that you may want or want to refuse.

How do I create a Texas Living Will?

Creating a Texas Living Will involves a few simple steps:

  1. Obtain the Texas Living Will form, which is often available through hospitals, legal offices, or online.
  2. Fill out the form, clearly stating your wishes regarding medical treatments.
  3. Sign the document in the presence of two witnesses, or notary public, as required by Texas law.

Can I change or revoke my Living Will?

Yes, you have the right to change or revoke your Texas Living Will at any time. Should you wish to make changes, it is important to create a new document and properly dispose of the old one. Inform your healthcare providers and family members about any changes to ensure they are aware of your current wishes.

Who should have a copy of my Living Will?

It is crucial to share copies of your Texas Living Will with key individuals who may be involved in your healthcare decisions. This includes:

  • Your primary care physician.
  • Family members or close friends.
  • Any designated healthcare proxies or decision-makers.

What happens if I do not have a Living Will?

If you do not have a Living Will, your family will need to make healthcare decisions on your behalf. This can lead to uncertainty and potential conflicts among family members about what is in your best interest. Having a Living Will helps minimize emotional strain during difficult times.

Is a Texas Living Will the same as a Medical Power of Attorney?

No, a Texas Living Will and a Medical Power of Attorney are different documents. While the Living Will specifies your wishes regarding medical treatment, the Medical Power of Attorney designates someone to make healthcare decisions on your behalf if you cannot do so. Many people choose to have both documents to ensure comprehensive coverage of their healthcare preferences.

Where can I obtain a Texas Living Will form?

You can obtain a Texas Living Will form from various sources, including:

  • Online legal resources and websites.
  • Hospitals and clinics.
  • County clerks’ offices or legal aid organizations.

Always ensure you are using the most updated version of the form that complies with Texas law.

Common mistakes

When filling out the Texas Living Will form, people often overlook important details. One common mistake is failing to specify their wishes clearly. It’s essential to articulate your desires regarding medical treatment. Ambiguous statements can lead to confusion for your healthcare providers and family members.

Another frequent error is neglecting to sign the document. A signature is necessary for the Living Will to be valid. Without it, even the most carefully considered wishes will not hold up in a medical setting.

Many individuals forget to date their Living Will. Dating the document helps confirm that your choices are current and relevant. If the form lacks a date, it may raise questions about whether it reflects your latest preferences.

Some people also make the mistake of not discussing their wishes with family or healthcare proxies. Leaving loved ones in the dark can lead to disagreements during stressful times. Open conversations help ensure everyone is on the same page when it matters most.

Another misstep is failing to update the Living Will regularly. As circumstances change and beliefs evolve, it’s crucial to review and revise your document. An outdated form may no longer reflect your values or intentions.

In addition, individuals often overlook the importance of having witnesses. Texas law requires the signature of two competent adults who can attest to your capacity at the time of signing. Without these witnesses, the Living Will could face challenges regarding its validity.

Lastly, some people do not store their Living Will in an accessible location. If family members or healthcare providers cannot find the document when needed, it renders the whole purpose of the Living Will ineffective. Keeping copies in easy-to-find places ensures that your wishes are known and followed.

Documents used along the form

When preparing for end-of-life decisions, individuals often consider various documents that work in conjunction with the Texas Living Will form. Each of these forms serves a specific purpose and can help ensure that a person's wishes are respected. Below is a list of essential documents commonly used alongside the Texas Living Will.

  • Durable Power of Attorney for Health Care: This document designates a specific person to make medical decisions on behalf of the individual if they become unable to do so. It ensures that someone trusted is appointed to carry out their healthcare preferences.
  • Do Not Resuscitate (DNR) Order: A DNR order is a medical document that instructs healthcare providers not to perform CPR if the individual's heart stops beating or they stop breathing. This form is crucial for those who wish to avoid resuscitation efforts in medical emergencies.
  • Directive to Physicians: Similar to a Living Will, this document outlines specific healthcare wishes regarding the use of artificial life support measures. It provides clear guidance to physicians regarding a person's preferences in critical situations.
  • Physician Orders for Life-Sustaining Treatment (POLST): A POLST form translates an individual's healthcare wishes into actionable medical orders. It is designed for people with serious health conditions and should be honored by all healthcare providers.
  • Health Care Proxy: This form allows an individual to appoint someone to make healthcare decisions on their behalf. Unlike the Durable Power of Attorney, a health care proxy may be more focused on giving authority during medical emergencies.
  • Organ Donation Consent: An organ donation consent form allows a person to indicate their wish to donate organs and tissues after death. This document ensures that their intentions regarding organ donation are communicated clearly to their family and healthcare providers.

By understanding and preparing these essential documents, individuals can take proactive steps to ensure their medical preferences are well-documented and honored. End-of-life planning can be a compassionate process, providing clarity and peace of mind to both individuals and their loved ones.

Similar forms

  • Durable Power of Attorney for Health Care: This document allows an individual to designate someone else to make health care decisions on their behalf if they are unable to do so. Like a Living Will, it addresses end-of-life decisions but focuses on appointing a representative.
  • Advanced Directive: An advanced directive is a broader term that encompasses both Living Wills and Durable Powers of Attorney for Health Care. It provides instructions about medical treatment preferences in case of incapacitation.
  • Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR in the event of cardiac arrest. This aligns with the goals of a Living Will by emphasizing the individual’s wishes about resuscitation efforts.
  • Healthcare Proxy: Similar to a Durable Power of Attorney for Health Care, a healthcare proxy document appoints someone to make medical decisions on behalf of the individual. It complements a Living Will by focusing on the appointed person’s decision-making power.
  • POLST (Physician Orders for Life-Sustaining Treatment): POLST forms translate the wishes of seriously ill patients into actionable medical orders. This document aligns with a Living Will by detailing specific treatment preferences and ensuring they are followed by medical personnel.
  • Advance Care Plan: An advance care plan encompasses various documents outlining an individual’s health care preferences. It can include a Living Will, and emphasizes proactive discussions about future health care decisions.
  • Health Care Instructions: This document provides detailed instructions about the types of medical procedures one wishes to accept or decline. It is similar to a Living Will in that it explicitly expresses personal health care wishes.
  • Personal Directive: A personal directive provides instructions on both health and personal matters. Like a Living Will, it helps ensure that the individual’s values and wishes are respected during incapacitation.
  • Mental Health Care Directive: This directive focuses specifically on mental health treatment preferences. It aligns with a Living Will by addressing the individual’s wishes in scenarios involving mental health crises.
  • Do Not Intubate (DNI) Order: A DNI order specifies that an individual should not be intubated. Similar to the Living Will, it specifies treatment preferences related to critical interventions in life-threatening situations.

Dos and Don'ts

When filling out the Texas Living Will form, it's important to approach the process with care. Here are some dos and don’ts to keep in mind:

  • Do make sure you completely understand the terms used in the document.
  • Don’t skip any sections; leaving parts blank can lead to confusion or potential challenges.
  • Do communicate your wishes clearly to your healthcare provider and loved ones.
  • Don’t rush through the process; take your time to ensure clarity and accuracy.
  • Do consider discussing your wishes with a legal professional or a trusted advisor.
  • Don’t use outdated forms; always ensure you have the most current version.
  • Do sign and date your Living Will in the presence of a witness, if required.
  • Don’t forget to keep copies for yourself and distribute them to your designated healthcare agent.
  • Do review and update your Living Will as needed, especially after significant life changes.

By following these guidelines, you can help ensure that your wishes are respected and understood in times of need.

Misconceptions

Many people have misunderstandings about the Texas Living Will form. Here are seven common misconceptions clarified:

  1. A Living Will is the same as a Power of Attorney. Many confuse these two documents. A Living Will specifically outlines wishes regarding medical treatment in end-of-life scenarios. In contrast, a Power of Attorney appoints someone to make medical decisions on your behalf.
  2. A Living Will can only be created in a hospital. This is not true. Individuals can prepare a Living Will anywhere, provided they meet the legal requirements. It is advisable to complete it before a medical crisis occurs.
  3. You must have a lawyer to create a Living Will. While consulting with an attorney can be beneficial, it is not a legal requirement in Texas. Standard forms are available for individuals to complete on their own.
  4. A Living Will only applies to elderly individuals. All adults should consider having a Living Will, regardless of age. Accidents and sudden illnesses can happen to anyone, and it is crucial to have your wishes documented.
  5. A Living Will is the same as a Do Not Resuscitate (DNR) order. They serve different purposes. A DNR specifically addresses CPR efforts in case of a cardiac arrest, while a Living Will covers broader treatment preferences.
  6. Your Living Will is automatically updated with changes in your health. This is incorrect. Individuals must revise their Living Will to reflect any shifts in their health status or personal wishes for treatment.
  7. Once signed, a Living Will cannot be changed. This is a misconception. You can amend or revoke a Living Will at any time, provided you follow the appropriate procedures. Ensure that all involved parties are informed of any updates.

Understanding these misconceptions can help ensure that individuals can effectively communicate their medical wishes and make informed decisions about their healthcare.

Key takeaways

When it comes to filling out and using the Texas Living Will form, there are several important factors to consider. Below are key takeaways to help ensure that your wishes are documented clearly and respected.

  • Understand the Purpose: A Texas Living Will specifies your preferences regarding medical treatment in situations where you cannot communicate your wishes. It addresses life-sustaining treatments in terminal or irreversible conditions.
  • Be Specific: Clearly outline the types of treatments you would or would not want in various scenarios. This clarity helps healthcare providers understand your desires and make informed decisions on your behalf.
  • Sign and Witness: To make your Living Will legally binding, you must sign it in the presence of two witnesses or a notary public. Witnesses must meet specific eligibility criteria to validate the document.
  • Communicate Your Wishes: Share a copy of your Living Will with family members, healthcare providers, and anyone else involved in your care. Open communication can help avoid misunderstandings during critical moments.