Texas Medical Power of Attorney (POA) Form

Generally, the Texas Medical Power of Attorney Form is a legally binding document that is used to assign an attorney (or legal guardian) for a person who needs medical treatment but cannot make informed decisions themselves for some reason. The reasons for legal incapacity may be quite different, yet most of them have a medical explanation. For instance, the patient might be in a coma, or have severe trauma, or have a mental illness that affects their decision-making ability and the ability to think clearly.

The person who is under the treatment is called the declarant or principal, and their legal representative is usually referred to as a healthcare attorney. The agent, based on the medical power of attorney form you sign, will get a legal right to decide what kind of treatment to use, whether to use it or stop any medical interference at all. Such assignees are not always people with medical education but do have to be someone you trust unconditionally, someone you literally can trust with your life.

Texas power of attorney forms – discover more about powers of attorney used for different things in the State of Texas.

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The Texas MDPOA Form can cover but is not restricted to the following health-related questions and issues:

  • Participation in general and special Medicare programs
  • The patient’s treatment preferences and policies regarding potential outcomes
  • Medical interference and life-sustaining measures

Like any other US state, Texas has some peculiarities regarding MDPOA regulation. In the following sections, we will disclose some more info on how to fill out the form properly.

Texas Laws and Requirements

As stated in Section 166.154 (a) of the Texas State Law, signing a form should be accompanied by two witnesses. You should be over 18 (or under this age but have the rights of an adult) and in sound mind. According to §166.154(c), if you are not able to sign, your physician can do it for you in front of two witnesses.

You are to choose the future agent very carefully because one will make medical decisions for you. An agent can be any adult except for one from the medical staff of the hospital where you get treatment. But if at the same time one is your relative, then one can be.

Under Texas law (§ 166.154(c)), the signatures of you and other people involved may be in written or electronic form. After the signing process, an agent gets access to all your medical records for understanding what the right decision one must make on your behalf.

Texas is one of those states that allows for having multiple (up to three) healthcare agents. If you feel like your health issue is particularly complicated for one person to decide on it, you may ensure that there are at least three independent opinions that should agree on the best possible option and outcome. Thus, you will ensure that your legal guardians will act in your best interests.

The authors of the form recommend making a sufficient number of copies of your directive: give it to the agent, to your personal physician (if applicable), and to other people that might need it. From time to time, you may re-read your declaration form and create a new paper if your wish to make amends.

Popular Local Medical POA Forms

HCPOA forms are some of the most frequently downloaded ones within the USA. Listed below are probably the most asked durable power of attorney documents.

Filling Out the Form

You can use legal assistance to compile the relevant Texas MDPOA Form. But we, in turn, have worked out and put together a comprehensive guide on how to fill the form out properly. Plus, you can use our form-building software to create a PDF template and fill it out online using our editor program.

1. Download the Newest Template

Step number one is to obtain the relevant MDPOA form template. You can download it from the official website of the local authorities, or simply use our software to generate it.

2. Enter Personal Data

Once you get the template, you may start to fill out personal data of the patient, including a full legal name, physical address, contact info (including emergency contact) and other related data. Submit supporting documents if they relate to the case.

Data adding section of a Texas medical power of attorney template

3. Designate Your Agent

Now, you need to provide the required personal data on your designated healthcare agent. In Texas, you may appoint one primary and two additional agents in your form. If you are assigning multiple agents please make sure to fill in the information on all of them. Use additional space to do so.

Agent choosing part of medical power of attorney document for Texas

4. Add Special Requirements

Next up, you will see a blank section designed for entering any specific info or detailed instructions that can limit the rights and duties of the designated agent(s). That is important to do so that the third party did not get too much authority over someone else’s life.

Special conditions adding part of Texas medical poa template

5. Indicate the People who Get Copies

In this section, you are to give information about the people who get copies of your MDPOA. You should specify their full legal names and their places of residence.

Part for information about people with copies of a Texas mpoa

6. Choose the Effective Date (Optional)

Here, you should choose the effective date of your MDPOA form. In Michigan, you may opt for the form effectiveness from the moment of signing or from the day when your physician determines your incapability.

Effective date choosing part of Texas medical poa

7. Study and Disclose the Info

Below, you can see a text that contains the main information that concerns MDPOA and transferring special rights to the agent. As a principal, you have to read them thoroughly and accept them. If something is still not clear, you may consult your lawyer.

Information studying part of Texas dpa form

8.  Sign the Texas MPOA Form

You, as a declarant, must check the information you have provided several times and then sign the document. You should also add the actual date, the city, and the state where the procedure takes place. After it, you are to sign the document. If you are physically unable to do it, appoint a representative to sign the paper on your behalf.

Signing section of a mdpa form for Texas

9. Ask a Notary Public to Sign and Seal

This is a section for a notary to sign. The notarization makes the document gain more legal force. A notary should verify the document by signing, adding a signing date, state and county (where the procedure takes place), one’s full legal name, the date when commission expires, and putting a seal (if applicable).

Notary signing part of Texas medical poa form

10. Ask the Two Witnesses to Sign

Two witnesses should sign, add the relevant data, singing dates, and their places of residence. Remember that none of your witnesses can act as your agent.

Witnesses signing section of Texas mpoa

Other Texas Forms

Different printable Texas templates readily available for download here and that can be modified in our simple document constructor.

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Published: Nov 20, 2020