Texas Living Will
This Living Will is executed in accordance with the laws of the State of Texas. It outlines your wishes regarding medical treatment in the event you become unable to communicate your wishes.
I, [Your Name], residing at [Your Address], born on [Your Date of Birth], hereby declare this Living Will, made on [Date].
In the event that I am diagnosed with a terminal condition, or if I am in a persistent vegetative state, I wish to make clear my wishes concerning medical treatment as follows:
- I do not want life-sustaining treatment if:
- It will only prolong the dying process.
- I am unable to communicate or participate in decisions about my care.
- If I am in a condition where my doctor determines that I am terminally ill or in a persistent vegetative state, I request the following:
- The removal of life-sustaining treatment.
- Comfort care to maintain dignity and alleviate suffering.
I appoint the following individuals to make decisions regarding my medical treatment in accordance with this Living Will:
- Name: [Agent Name]
- Relationship: [Agent's Relationship]
- Contact Information: [Agent's Phone Number]
In witness whereof, I have hereunto subscribed my name on this [Date].
Signature: _______________________________
Witness Names and Signatures:
- Name: _______________________________ Signature: _______________________________
- Name: _______________________________ Signature: _______________________________
This document must be signed in the presence of two witnesses or notarized, in accordance with Texas law.