Texas Medical Power of Attorney Template

Texas Medical Power of Attorney Template

A Texas Medical Power of Attorney template with completion notes and the blank form. Texas adults who want to name a health care agent to make medical decisions if they cannot.

What's included

• 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.

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)

• 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.

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.