Texas Living Will
This document is a Living Will in accordance with the laws of the State of Texas. It allows you to express your wishes regarding medical treatment in the event you become incapacitated and are unable to communicate your desires.
I, [Your Full Name], residing at [Your Address], born on [Your Date of Birth], hereby declare that this is my Living Will.
In the event that I am diagnosed with a terminal condition or become permanently unconscious, and if I am unable to communicate my preferences regarding medical treatment, I have made the following decisions:
-
Life-Sustaining Treatments:
I choose to [choose one]:
- Receive life-sustaining treatments.
- Not receive life-sustaining treatments.
-
Specific Instructions:
I want to include the following instructions regarding my treatment:
[Provide any specific instructions or wishes]
-
Organ Donation:
Upon my death, I wish to [choose one]:
- Donate my organs and tissues.
- Not donate my organs and tissues.
By signing this document, I confirm that I am of sound mind and am making these decisions voluntarily. This Living Will expresses my wishes and should be followed by all healthcare providers.
Signed on this [Date] day of [Month], [Year].
Signature: ____________________________
Printed Name: [Your Full Name]
Witness: ____________________________
Printed Name: _______________________