Printable blank Texas Medical Power of Attorney

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1. What is a Texas Medical Power of Attorney Form?

The fillable Texas Medical Power of Attorney Form is a free legal instrument issued by the state of Texas. It’s used for designating a person to make health care decisions instead of you in case you lose the ability to do this. It should be a person who knows your wishes and has the best intentions at heart.

2. What I need the Texas Medical Power of Attorney Form for?

  • You should submit this form if you have the prospects to lose the ability to communicate during your time in the hospital. The appointed person will take legal responsibility for your health care decisions according to your wishes;
  • Don’t fill if you don’t want or have anyone to take care of health care decisions except for the healthcare organization.

Do you want to download the Texas Medical Power of Attorney Form PDF? PDFLiner provides the latest version of this form along with an option to fill it out online and print the complete blank after completion. 

3. How to fill out the Texas Medical Power of Attorney Form?

  • State that you understand the disclosure statement by signing and dating it;
  • Input your Private Data, Such as your name, address, and Telephone number;
  • Name your health care agent and provide his/her personal information and contacts;
  • Set the limitations for the agent’s authority;
  • Name the first and second alternative agent;
  • Disclose where the original copy of the document is held;
  • State the expiry date of the document;
  • Date and sign the form under the supervision of 2 witnesses;
  • Let the witnesses sign the statement of witnesses and enter their home addresses.

4. Organizations that work with Texas Medical Power of Attorney Form:

  • Health care organizations of Texas.

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