Texas Living Will

TexasLivingWill
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CONDITIONS UNDER WHICH YOU MAY EXECUTE A LIVING WILL

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If, in the judgment of your physician, you begin suffering with a terminal condition from which you are expected to die within six months even with available life-sustaining treatment provided in accordance with prevailing standards of medical care you may specify that such treatment be discontinued or withheld and that you be allowed to die as gently as possible. 

If, in the judgment of your physician, you are suffering with an irreversible condition so that you cannot care for yourself or make decisions for yourself and are expected to die without life-sustaining treatment provided in accordance with prevailing standards of care you may specify that such treatment be discontinued or withheld and that you be allowed to die as gently as possible. 
 

ADDITIONAL INFORMATION ABOUT THIS LIVING WILL
   
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Designation of Agent

You will be give the option to designate two persons to make medical decisions for you if you are unable to make your wishes known. Your agent must act consistently with your living will.
 

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Election of Treatment(s)

When you are submitting your information you will be allowed to elect treatments you want and don't want. You will be given the option of receiving artificial nutrition and hydration and other treatment. 
 

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Duty of Attending Physician(s)

When your living will becomes operative, your physician and other health care providers shall act in accordance with its provisions.  If your attending physician or other health care provider cannot in good conscience comply with the provisions of your living will or if the policies of the health care provider preclude compliance, your attending physician or health care provider shall so inform you, or, if you are incompetent, shall so inform your agent, or, if you have not designated a health care proxy, shall so inform your family, guardian or other representative.  Your physician and health care provider shall make every reasonable effort to assist in the your transfer to another physician or health care provider who will comply with your living will.
 

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Operative Date

Your living will becomes operative when a copy is provided to your attending physician; and you are determined by your attending physician to be incompetent and in a terminal condition or in a state of permanent unconsciousness.
 

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Executing and Delivering Your Living Will

After you have completed your directive you should sign it before a notary public OR in front of two witnesses. If you sign in front of two witnesses pay particular attention to the qualifications contained in the witness statement. You should provide a copy of your completed advance directive to your attending physician and other health care providers and they shall make it a part of your medical records. You should also give a copy to trusted family members.

This directive to physician is approximately three pages in length
 

SOURCE: Texas Health and Safety Code, Title 2, Subtitle H, Chapter 166, Subchapter D §166.033; Form of written directive

The price of this
Directive to Physician
is $10.00