Additional State of Texas Resources

Advance Directives in the State of Texas

Declaration for Mental Health Treatment (pdf)

This form allows you to make decisions in advance about mental health treatment of psychoactive medication, convulsive therapy, and emergency mental health treatment.

Directive to Physicians and Family or Surrogates (pdf)

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.

Medical Power of Attorney(pdf)

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.

Out of Hospital Do Not Resuscitate (OOH-DNR) Order (pdf)

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.

Statutory Durable Power of Attorney

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.

Authorization to Disclose Protected Health Information (pdf)

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