Except to the extent you state otherwise, this document gives the person you name as your agent the authority to make any and all health care decisions for you in accordance with your wishes, including your religious and moral beliefs, when you are no longer capable of making them yourself.
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.
