This form is a revocation of Form TX-P021 that is designed to help you communicate your wishes about medical treatment at some time in the future when you are unable to make your wishes known because of illness or injury. You may revoke a directive at any time without regard to your mental state or competency by canceling, defacing, obliterating, burning, tearing, or otherwise destroying the directive or having someone do so for you, by signing and dating a written revocation such as this form that expresses your intent to revoke the directive or by orally stating your intent to revoke the directive.
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REVOCATION OF DIRECTIVE TO PHYSICIAN AND FAMILY OR SURROGATES I, Declaring, having executed a Directive to Physician and Family or Surrogates on the day of, 20. Texas Health and Safety Code 166.042
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How to fill out Texas revocation of directive:
01
Retrieve the Texas revocation of directive form from a reliable source.
02
Read the instructions and familiarize yourself with the requirements and guidelines.
03
Fill in your personal information accurately, such as your full name, address, and contact details.
04
Clearly state that you are revoking any previously executed directive, including the date.
05
Sign and date the revocation form in the presence of a notary public.
06
Make copies of the completed form for your records and any relevant parties involved, such as your healthcare provider or family members.
Who needs Texas revocation of directive:
01
Individuals who have previously executed an advance directive and wish to revoke it.
02
Anyone who wants to ensure that their medical wishes are not restricted by a previously executed directive.
03
Those who have recently changed their end-of-life preferences and want to update their medical instructions.
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What is texas revocation of directive?
Texas revocation of directive refers to a legal document that allows an individual to revoke or cancel a previously created directive, such as a living will or a medical power of attorney.
Who is required to file texas revocation of directive?
Any individual who wishes to revoke their previously created directive in the state of Texas is required to file a Texas revocation of directive.
How to fill out texas revocation of directive?
To fill out a Texas revocation of directive, you will need to provide your personal information, such as your name and contact information, and clearly state the directive you wish to revoke. It is recommended to consult an attorney or use an official template provided by the state to ensure the document is properly executed.
What is the purpose of texas revocation of directive?
The purpose of Texas revocation of directive is to legally cancel or revoke a previously created directive, allowing individuals to make changes to their medical or end-of-life wishes.
What information must be reported on texas revocation of directive?
On a Texas revocation of directive, you must report your personal information, the specific directive you want to revoke, and any additional details requested by the form or template being used.
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