Texas · Standard edition

Texas Medical Power of Attorney Template

Create a Texas medical power of attorney online to name a healthcare agent. The Standard document covers the agent's authority, when it begins, the decision standard, life-sustaining treatment instructions, a HIPAA authorization, revocation, and Texas witness and notary requirements.

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Texas rules built into this template

  • Signing: This document must be signed in the presence of two qualified adult witnesses, or acknowledged before a notary public. At least one witness must meet additional qualifications (for example, not a relative, the Agent, an heir, or the Principal's attending physician or a facility employee involved in the Principal's care) (Tex. Health & Safety Code §§ 166.003, 166.154).
  • IMPORTANT: Texas provides a statutory medical power of attorney form (Tex. Health & Safety Code § 166.164). Using the official Texas form is strongly recommended so that Texas health care providers readily accept the document.

What the Medical Power of Attorney includes

  1. Appointment of Agent
  2. Authority of Agent
  3. When Authority Begins
  4. Standard for Decisions
  5. Life-Sustaining Treatment and Special Instructions
  6. HIPAA Authorization
  7. Limitations
  8. Duration and Revocation
  9. Reliance and Liability
  10. Execution
  11. State-Specific Information
  12. Governing Law

Frequently asked questions

Who can witness a medical power of attorney in Texas?
This document must be signed in the presence of two qualified adult witnesses, or acknowledged before a notary public. At least one witness must meet additional qualifications (for example, not a relative, the Agent, an heir, or the Principal's attending physician or a facility employee involved in the Principal's care) (Tex. Health & Safety Code §§ 166.003, 166.154).
Can my healthcare agent see my medical records in Texas?
Yes, if you include the HIPAA authorization. The Standard document can name your agent as your personal representative under HIPAA so providers can share your health information with them.
What is the difference between the Standard and Professional Medical Power of Attorney?
The Standard edition is a complete, state-aware Medical Power of Attorney for common situations. The Professional edition adds longer clause coverage, schedules, and optional modules for more complex matters. You can preview either edition free before you pay.

Medical Power of Attorney templates for other states

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Start your Texas Medical Power of Attorney