Forms > Disability Planning Forms

These forms are for use by licensed Texas attorneys only.  They are offered as is, without warranty of any kind.  Use these forms at your own risk.  For more forms, visit the legacy Texas Probate web site at www.texasprobate.net.

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    Appointment for Disposition of Remains (Word)

     (77K)
    Use this form to designate an agent to control disposition of your remains at death. This form is found in Section 711.002 of the Texas Health and Safety Code. It was revised September 1, 2015, to comply with 2015 legislative changes.
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    Appointment for Disposition of Remains (pdf)

     (10K)
    Use this form to designate an agent to control disposition of your remains at death. This form is found in Section 711.002 of the Texas Health and Safety Code. It was revised September 1, 2015, to comply with 2015 legislative changes.
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    Certification of Durable Power of Attorney by Agent (Word)

     (17K)
    The 2017 changes to the Durable Power of Attorney Act permit third parties to ask the agent for a certification. This is optional form of certification found in Texas Estates Code Section 751.203.
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    Certification of Durable Power of Attorney by Agent (pdf)

     (84K)
    The 2017 changes to the Durable Power of Attorney Act permit third parties to ask the agent for a certification. This is optional form of certification found in Texas Estates Code Section 751.203.
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    Declaration for Mental Health Treatment (Word)

     (16K)
    This is the declaration found in Section 137.011 of the Texas Civil Practices and Remedies Code. In 2017 the form was changed to permit it to be signed before a notary public instead of requiring two witnesses.
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    Declaration for Mental Health Treatment (pdf)

     (83K)
    This is the declaration found in Section 137.011 of the Texas Civil Practices and Remedies Code. In 2017 the form was changed to permit it to be signed before a notary public instead of requiring two witnesses.
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    Declaration of Guardian -- For Children (Word)

     (78K)
    Use this form to designate a guardian for your children. This form is found in Section 1104.153 of the Texas Estates Code and uses the one-signature alternative to the self-proving affidavit permitted by Section 1104.154. It was revised September 1, 2015, because of a minor change to the self-proving affidavit form.
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    Declaration of Guardian -- For Children (pdf)

     (10K)
    Use this form to designate a guardian for your children. This form is found in Section 1104.153 of the Texas Estates Code and uses the one-signature alternative to the self-proving affidavit permitted by Section 1104.154. It was revised September 1, 2015, because of a minor change to the self-proving affidavit form.
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    Declaration of Guardian for Adult (Word)

     (33K)
    Use this form to designate a guardian of the person and estate if the need later arises. This form is found in Section 1104.204 of the Texas Estates Code and uses the one-signature alternative to the self-proving affidavit permitted by Section 1104.205. In 2017 the form changed to permit it to be signed before a notary without two witnesses if the declaration does not disqualify anyone from serving as guardian, but requires two witnesses and a notary if someone is disqualified.
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    Declaration of Guardian for Adult (pdf)

     (73K)
    Use this form to designate a guardian of the person and estate if the need later arises. This form is found in Section 1104.204 of the Texas Estates Code and uses the one-signature alternative to the self-proving affidavit permitted by Section 1104.205. In 2017 the form changed to permit it to be signed before a notary without two witnesses if the declaration does not disqualify anyone from serving as guardian, but requires two witnesses and a notary if someone is disqualified.
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    Directive To Physicians -- Using Notary (Word)

     (73K)
    This is the directive to physicians and family or surrogates form which permits you to express end-of-life wishes. This form is found in Section 166.033 of the Texas Health and Safety Code. It uses the option of a notary rather than two witnesses. It was revised on September 1, 2015, to reflect 2015 legislative changes.
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    Directive To Physicians -- Using Notary (pdf)

     (15K)
    This is the directive to physicians and family or surrogates form which permits you to express end-of-life wishes. This form is found in Section 166.033 of the Texas Health and Safety Code. It uses the option of a notary rather than two witnesses. It was revised on September 1, 2015, to reflect 2015 legislative changes.
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    Directive To Physicians -- Using Witnesses (Word)

     (74K)
    This is the directive to physicians and family or surrogates form which permits you to express end-of-life wishes. This form is found in Section 166.033 of the Texas Health and Safety Code. It uses the option of two witnesses rather than a notary. It was revised on September 1, 2015, to reflect 2015 legislative changes.
  • File

    Directive To Physicians -- Using Witnesses (pdf)

     (15K)
    This is the directive to physicians and family or surrogates form which permits you to express end-of-life wishes. This form is found in Section 166.033 of the Texas Health and Safety Code. It uses the option of two witnesses rather than a notary. It was revised on September 1, 2015, to reflect 2015 legislative changes.
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    HIPAA Authorization (Word)

     (33K)
    This form may be used to designate a representative who is authorized to obtain your confidential medical information. This is NOT a form approved by the Texas Legislature, so use caution.
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    HIPAA Authorization (pdf)

     (10K)
    This form may be used to designate a representative who is authorized to obtain your confidential medical information. This is NOT a form approved by the Texas Legislature, so use caution.
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    Medical Power of Attorney - for use on or after 1-1-2018 (Word)

     (43K)
    This is the Medical Power of Attorney form found in Section 166.033 of the Texas Health and Safety Code. Use it to designate someone to make health care and treatment decisions for you in the event you become incapacitated. Use of this form (which was revised in 2017) is mandatory beginning January 1, 2018. The new form incorporates the disclosure statement in the form itself, making a separate disclosure statement unnecessary.
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    Medical Power of Attorney - for use on or after 1-1-2018 (pdf)

     (90K)
    This is the Medical Power of Attorney form found in Section 166.033 of the Texas Health and Safety Code. Use it to designate someone to make health care and treatment decisions for you in the event you become incapacitated. Use of this form (which was revised in 2017) is mandatory beginning January 1, 2018. The new form incorporates the disclosure statement in the form itself, making a separate disclosure statement unnecessary.
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    Medical Power of Attorney - for use through 12-31-2017 (Word)

     (78K)
    This is the Medical Power of Attorney form found in Section 166.033 of the Texas Health and Safety Code. Use it to designate someone to make health care and treatment decisions for you in the event you become incapacitated. This form should be used only until December 31, 2017. Use of the new form is mandatory beginning January 1, 2018.
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    Medical Power of Attorney - for use through 12-31-2017 (pdf)

     (16K)
    This is the Medical Power of Attorney form found in Section 166.033 of the Texas Health and Safety Code. Use it to designate someone to make health care and treatment decisions for you in the event you become incapacitated. This form should be used only until December 31, 2017. Use of the new form is mandatory beginning January 1, 2018.
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    Statutory Durable Power of Attorney (Word)

     (42K)
    This is the statutory durable power of attorney form found in Section 752.051 of the Texas Estates Code. Use it to appoint an agent to make property decisions for you. Use caution because usually your agent has access to your bank accounts and other property and can harm you if he or she acts imprudently or improperly. This includes the significant changes made in 2017. Its use is optional.
  • File

    Statutory Durable Power of Attorney (pdf)

     (94K)
    This is the statutory durable power of attorney form found in Section 752.051 of the Texas Estates Code. Use it to appoint an agent to make property decisions for you. Use caution because usually your agent has access to your bank accounts and other property and can harm you if he or she acts imprudently or improperly. This includes the significant changes made in 2017. Its use is optional.