Texas Living Will
This Living Will is made in accordance with the Texas Health and Safety Code, Chapter 166, pertaining to advance directives.
I, [Your Full Name], a resident of [Your City], Texas, born on [Your Date of Birth], willingly make this declaration regarding my health care decisions:
If at any time I am unable to communicate my wishes regarding my medical treatment due to incapacity, I want my wishes to be known about life-sustaining treatment and care. This includes:
- My desire for the administration, withdrawal, or withholding of life-sustaining treatment.
- My wishes regarding the use of resuscitation and emergency medical services.
- My preferences concerning the provision of nutrition and hydration.
I declare that:
- If I am diagnosed with a terminal condition, as determined by my physician, I do not wish to receive life-sustaining treatment.
- If I am in a persistent vegetative state with no reasonable chance of recovery, I do not wish to receive life-sustaining treatment.
- I want to receive comfort care and pain relief regardless of my condition.
This directive expresses my legal and personal options regarding my health care. Should any provisions of this directive be determined to be invalid, other provisions shall remain in effect.
Signed this [Day] day of [Month, Year].
Signature: ________________________________
Print Name: [Your Full Name]
Witnesses must sign below:
Witness 1: ________________________________
Print Name: [Witness 1's Full Name]
Witness 2: ________________________________
Print Name: [Witness 2's Full Name]
This Living Will was created free of undue influence and reflects my true and voluntary wishes.