This form allows you to make decisions in advance about mental health treatment of psychoactive medication, convulsive therapy, and emergency mental health treatment.
This form is designed to help you communicate your wishes about future medical treatment when you are unable to make your wishes known because of illness or injury.
Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any health care decisions for you according to your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself.
This form instructs emergency medical personnel and other health care professionals to forgo resuscitation attempts and to permit the patient to have a natural death with peace and dignity. This order does NOT affect the provision of other emergency care including comfort care.
This form is for designating an agent who is empowered to take certain actions regarding your property. It does not authorize anyone to make medical and other healthcare decisions for you.
The Texas Medical Records Privacy Act requires the Attorney General to adopt a standard Authorization to Disclose Information form.
For more information: Texas Attorney General Patient Privacy Information