Texas Living Will Declaration
This Living Will is made pursuant to the laws of Texas, specifically under Section 166.032 of the Texas Health and Safety Code. It expresses my wishes regarding medical treatment in the event I become terminally ill or incapacitated.
I, [Your Full Name], born on [Your Date of Birth], residing at [Your Address], declare that this is my Living Will.
Declaration
If at any time I am diagnosed with a terminal illness or I become incapable of making decisions regarding my medical treatment, I direct that:
- My life should not be prolonged by any extraordinary means.
- Palliative care should be provided to keep me comfortable.
- I do not wish to receive treatment that merely postpones the moment of my death.
Appointment of Health Care Proxy
In addition to my instructions regarding medical treatment, I hereby appoint the following individual as my health care agent:
[Agent's Full Name], whose address is [Agent's Address]
Wishes for Organ Donation
Upon my death, I wish to make the following designation regarding organ donation:
- I wish to donate any organs or tissues for transplantation, therapy, research, or education.
- I do not wish to make any donations.
- Please specify other wishes: [Your Specific Wishes]
Revocation of Previous Directives
This document revokes any prior Living Will or medical directive I may have executed.
Witnesses
For this Living Will to be valid, it must be signed in the presence of two qualified witnesses who are not named in this document.
Witness 1: [Witness 1 Full Name] - Signature: ______________________ Date: ____________
Witness 2: [Witness 2 Full Name] - Signature: ______________________ Date: ____________
Signatures
Signed this [Day] day of [Month], [Year].
Signature of Declarant: ______________________