Medical Power Of Attorney Designation Of Health Care Agent Texas

As my agent to make any and all health care decisions for me except to the extent i state otherwise in this document.

Medical power of attorney designation of health care agent texas.

Designation of alternate agent you are not required to designate an alternate agent but you may do so. Medical power of attorney form designation of health care agent i insert your. The general poa is an entirely separate document and the courts do not automatically assume that if you designate a medical poa that this person should have any. This medical power of attorney takes effect if i become unable to make my own health care decisions and this fact is certified in writing by my physician.

B a principal s licensed or certified health or residential care provider who is informed of or provided with a revocation of a medical power of attorney shall immediately record the revocation in the principal s medical record and give notice of the revocation to the agent and any known health and residential care providers currently. Similar to this example you must provide a document with the following complete details. The medical power of attorney is appointed by you in a legal document to make medical decisions for you 1 which indicates what course to take in specific medical circumstances. If applicable this power of attorney ends on the following date.

I name of principal appoint name address and telephone number of agent as my agent to make any and all health care decisions for me except to the extent i state otherwise in this document. This medical power of attorney takes effect if i become unable to. Find a testing site. Explanation regarding the medical power of attorney designation of health care agent effectiveness of appointment revocation general statement of authority granted special provisions and limitations organ donation guardianship provision reliance of.

More covid 19 information. You may wish to designate an alternate agent in the event that your agent is unwilling unable or ineligible to act as your agent. Prior designations revoked i revoke any prior medical power of attorney. If you designate an alternate agent the alternate agent has the same authority as the agent to make health care decisions for you.

Texans can dial 2 1 1 option 6 for information on covid 19 and local resources on health care utilities food housing and more. Power of attorney expires the authority i have granted my agent continues to exist until the time i become able to make health care decisions for myself. Acknowledgment of disclosure statement. Medical power of attorney designation of health care agent.

An alternate agent may make the same health care decisions as the designated agent.