Texas Healthcare Documents Trio (3 Templates)

Texas Healthcare Documents Trio (3 Templates)

Three Texas health care documents that work together: the statutory Directive to Physicians and Family or Surrogates, the statutory Medical Power of Attorney, and a HIPAA authorization.

What's included

• Directive to Physicians and Family or Surrogates (7 pages): the statutory living will form in Health and Safety Code §166.033, reproduced verbatim, with an optional notary acknowledgment page (§166.032(b-1)) and a written revocation form (§166.042).
• Medical Power of Attorney (8 pages): the statutory form in Health and Safety Code §166.164, reproduced verbatim, including the Disclosure Statement that is now part of the form, a notary acknowledgment option, and the two-witness statements.
• HIPAA Authorization / Release (9 pages): lets the people named receive protected health information from doctors, hospitals and health plans. Built on the federal core elements (45 C.F.R. §164.508) and Texas Health and Safety Code §181.154, with initialed special categories, an optional psychotherapy-notes exhibit, and a revocation form.

Each document starts on its own page with plain-English completion notes, followed by the blank form. Where Texas law supplies a form, the statutory wording is reproduced verbatim.

Signing requirements (Texas)

• Directive to Physicians and Family or Surrogates: sign in front of two competent adult witnesses, at least one of whom meets Health and Safety Code §166.003(2) (§166.032(b)), OR have the signature acknowledged before a notary (§166.032(b-1)). Digital or electronic signatures that meet §166.011 are allowed.
• Medical Power of Attorney: sign in front of two competent adult witnesses, at least one of whom meets Health and Safety Code §166.003(2), OR have the signature acknowledged before a notary (§166.154). Digital or electronic signatures that meet §166.011 are allowed.
• HIPAA Authorization / Release: signature and date only; no witnesses or notary are required.

File formats

Editable Word (.docx) and print-ready PDF (US Letter) for every document, delivered as a ZIP digital download. Nothing is shipped.

Legal research last verified September 29, 2026.

These products are not a substitute for the advice of an attorney. This is a fill-in template, not legal advice. Laws change; check your state's current requirements before signing.

Licensed to the original purchaser for personal use only; not for resale or redistribution.

Some content in this template was drafted with the help of AI tools and reviewed before listing.