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TEXAS ADVANCE DIRECTIVE PAGE 4 OF 14 TEXAS MEDICAL POWER OF ATTORNEY DESIGNATION OF HEALTH CARE AGENT. PRINT YOUR NAME I, appoint: (name) PRINT THE NAME, ADDRESS AND HOME AND WORK TELEPHONE NUMBERS
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How to fill out texas advance directive page

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How to fill out the Texas advance directive page:

01
Begin by familiarizing yourself with the purpose of the Texas advance directive form. Understand that it allows you to make decisions regarding your medical treatment in case you become unable to communicate those choices in the future.
02
Obtain a copy of the Texas advance directive form. You can find it online on the Texas Health and Human Services website or request it from your healthcare provider.
03
Start by providing your personal information, such as your name, address, and contact details, in the appropriate sections of the form. Ensure that this information is accurate and up to date.
04
Designate a representative. In this section, you will name an individual who will be responsible for making decisions on your behalf if you are unable to do so. This person is often referred to as your healthcare agent or proxy. Make sure to discuss your wishes with this person beforehand and ensure they are willing to take on this responsibility.
05
Specify your treatment preferences. This section allows you to outline your desires regarding various medical interventions, such as artificial nutrition and hydration, pain relief, and resuscitation. Be clear and specific about your preferences to guide your healthcare providers.
06
Consider including additional instructions or specific limitations in the optional sections. You can provide guidance regarding religious or ethical beliefs, preferred medical facilities, or any other considerations that you find important.
07
Sign the Texas advance directive form in the presence of two witnesses or have it notarized. Follow the instructions provided on the form to ensure its validity.
08
Share a copy of the completed form with your designated healthcare agent, close family members, and your healthcare provider. Keep the original document in a safe and easily accessible place.
09
Review and update the Texas advance directive form periodically or whenever there are changes in your preferences or circumstances, such as significant health developments or a change in your designated representative.

Who needs the Texas advance directive page?

01
Individuals who wish to have control over their medical treatment decisions in case they become incapacitated.
02
Those who want to ensure their treatment preferences and values are respected and followed.
03
People with chronic illnesses, terminal conditions, or who are at a higher risk of medical emergencies may particularly benefit from having a Texas advance directive in place.
04
Family members and friends of individuals who may need assistance in making medical decisions for themselves.
Remember, it is advisable to consult with an attorney or healthcare professional for personalized advice and clarification when completing the Texas advance directive page.
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Texas Advance Directive Page is a legal document that allows a patient to outline their medical preferences and designate a healthcare agent to make decisions on their behalf if they become incapacitated.
Any individual who wants to ensure that their medical wishes are followed in the event they are unable to communicate their preferences.
To fill out Texas Advance Directive Page, an individual must consult with their healthcare provider to discuss their medical wishes and then fill out the necessary forms with their designated healthcare agent.
The purpose of Texas Advance Directive Page is to provide individuals with the opportunity to make their medical preferences known and ensure that their wishes are followed if they are unable to communicate.
Texas Advance Directive Page typically includes information about the individual's medical preferences, end-of-life decisions, and the designation of a healthcare agent.
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