Medical Power Of Attorney Designation Of Health Care Agent Texas

If you designate an alternate agent the alternate agent has the same authority as the agent to make health care decisions for you.

Medical power of attorney designation of health care agent texas.

You must execute a new medical power of attorney. Similar to this example you must provide a document with the following complete details. Medical power of attorney is a designation that is given to a person that enables them to handle health care related decisions on a patient s behalf. Medical power of attorney form designation of health care agent i insert your.

More covid 19 information. The exact decision making responsibilities depend on what the patient instructs in the document. Find a testing site. This medical power of attorney takes effect if i become unable to.

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. 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. Designation of alternate agent you are not required to designate an alternate agent but you may do so. 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.

Medical power of attorney designation of health care agent. Acknowledgment of disclosure statement. An alternate agent may make the same health care decisions as the designated agent. Texans can dial 2 1 1 option 6 for information on covid 19 and local resources on health care utilities food housing and more.

If applicable this power of attorney ends on the following date. 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. 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. As my agent to make any and all health care decisions for me except to the extent i state otherwise in this document.

You may wish to designate an alternate agent in the event that your agent is unwilling unable or ineligible to act as your agent.