An education and information resource for family caregivers of older adults

To Increase Text Size

 

Home

TOOLS
RESOURCES
PUBLICATIONS
Powers Of Attorney, Advance Directives, “Living Wills”
Please Note: No documents or information provided anywhere on this site should be considered as constituting legal advice, or intended to replace a formal discussion with a licensed attorney. If you have questions relating to the law, we advise you to seek the services of an attorney. Some communities have lawyers willing to provide limited free advice for persons with low incomes. Talk to the local bar association or call one of the numbers from the links below.
Click here for legal resources in Texas.
Click here (or the logos below) to access your local Area Agency on Aging (ask about their Legal Awareness program)
All the forms below are for the state of Texas. Scroll down the page to see listings. For other states, contact your local or state bar association, or ask for help through your local Area Agency on Aging.
Texas Statutory Power of Attorney and Medical Treatment Forms
Texas Probate Code 490 explains Durable Power of Attorney
  Statutory Durable Power of Attorney -- This is the form promulgated by the Texas Legislature for designating an agent empowered to take certain actions regarding your property. downloadable Word document
  Statutory Durable Power of Attorney with Informational Disclosure as modified by Glenn M. Karisch -- This is not the basic statutory form. Rather, it contains an informational disclosure and changes to the statutory form developed by Glenn M. Karisch of Barnes & Karisch, P. C. Use at your own risk. downloadable Word document
 

Medical Power of Attorney with Required Disclosure Statement -- This is the form promulgated by the Texas Legislature for designating an agent to make medical decisions for you. downloadable Word document

In addition to Medical Power of Attorney and any directive, it is a good idea to make sure that you are listed on your loved ones' medical records, through their signing of a HIPAA release form (Health Insurance Portability Act), which gives health professionals permission to talk to anyone other than the patient regarding medical-related issues.  HIPAA General Release Form

  Directive to Physicians and Family or Surrogates -- This is the form promulgated by the Texas Legislature for indicating your wishes in the event you are unable to make your own decisions and do not want extraordinary measures taken to keep you alive. downloadable Word document
  Declaration of Guardian in the Event of Later Incapacity or Need of Guardian -- This is the form promulgated by the Texas Legislature for designating who you want to be your guardian (not guardian of your minor children -- another form is used for that) if you become incapacitated. downloadable Word document
  Texas Do Not Resuscitate (DNR) form - state of Texas.  This is provided for your information only. An Out Of Hospital DNR Order is executed by a doctor and must be kept with the person at all times.
 
  Click here to download the Texas document. PDF format.
  Click here for forms and handbooks available from the Texas Department on Aging and Disability Services.
 

 Funded by the Texas Department of Aging and Disability Services (DADS) through the following local area agencies on aging:
Member American Society on Aging Member National Family Caregivers Association We subscribe to the Health On the Net code principles