This document allows you to make decisions in advance about mental health treatment and specifically three types of mental health treatment: psychoactive medication, convulsive therapy and emergency mental health treatment. The instructions that you include in this declaration will be followed only if a court believes that you are incapacitated to make treatment decisions. Otherwise, you will be considered able to give or withhold consent for the treatments.
Please note: This is a Texas Health & Safety Code §166.163 statutory self-help form. It is provided for personal use and must be reviewed by a licensed attorney for legal guidance. Arlington Mobile Notary does not provide legal advice and does not select forms for customers.