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AUSTIN/TRAVIS COUNTY HEALTH & HUMAN SERVICES DEPARTMENT ENVIRONMENTAL HEALTH SERVICES DIVISION P.O. BOX 142529 Austin, TX 78714 Phone (512) 9780300 Email: ESD. Service austintexas.gov Web Address:
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Austin/Travis County Health Authority Medical Power of Attorney is a legal document that allows you to appoint someone to make medical decisions for you if you are unable to do so.
Any individual over the age of 18 who wants to designate a trusted person to make medical decisions on their behalf.
You can fill out the Austin/Travis County Health Amp by downloading the form online or obtaining a copy from your healthcare provider, then completing it with your personal information and the name of the person you want to appoint as your medical power of attorney.
The purpose of the Austin/Travis County Health Amp is to ensure that your medical wishes are respected and that someone you trust can make decisions on your behalf if you are unable to do so.
The Austin/Travis County Health Amp must include your name, the name of the person you are appointing as your medical power of attorney, and any specific instructions or preferences you have regarding your medical care.
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