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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    2014_Medical_Power_of_Attorney.doc

     (39K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the form for a medical power of attorney and related disclosure statement which are set forth in Sections 116.163 and 116.164 of the Texas Health and Safety Code(Word format).
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    2014_Medical_Power_of_Attorney.pdf

     (16K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the form for a medical power of attorney and related disclosure statement which are set forth in Sections 116.163 and 116.164 of the Texas Health and Safety Code (pdf format).
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    2014_Statutory_Durable_Power_of_Attorney_Basic.doc

     (39K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the basic form for a statutory durable power of attorney set forth in Section 752.051 of the Texas Estates Code (Word format).
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    2014_Statutory_Durable_Power_of_Attorney_Basic.pdf

     (17K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the basic form for a statutory durable power of attorney set forth in Section 752.051 of the Texas Estates Code (pdf format).
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    2014_Statutory_Durable_Power_of_Attorney_Enhanced.doc

     (44K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the form for a statutory durable power of attorney set forth in Section 752.051 of the Texas Estates Code, modified and enhanced by Glenn Karisch (Word format).
  • File

    2014_Statutory_Durable_Power_of_Attorney_Enhanced.pdf

     (22K)
    New form adopted by the Legislature for use beginning January 1, 2014: This is the form for a statutory durable power of attorney set forth in Section 752.051 of the Texas Estates Code, modified and enhanced by Glenn Karisch (pdf format).
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    Declaration_of_Guardian.Adult.doc

     (26K)
    This is the declaration of guardian form set forth in Section 679 of the Texas Probate Code and Sections 1104.204-1104.205 of the Texas Estates Code that permits an adult to designate the person he or she wants to be his or her guardian should the need later arise (Word format).
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    Declaration_of_Guardian.Adult.pdf

     (11K)
    This is the declaration of guardian form set forth in Section 679 of the Texas Probate Code and Sections 1104.204-1104.205 of the Texas Estates Code that permits an adult to designate the person he or she wants to be his or her guardian should the need later arise (pdf format).
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    Declaration_of_Guardian_For_Children.doc

     (30K)
    This is the declaration of guardian form set forth in Section 677A of the Texas Probate Code and Sections 1104.153-1104.154 of the Texas Estates Code that permits a parent to designate a guardian for his or her children in the event of the parent's incapacity or death (Word format).
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    Declaration_of_Guardian_For_Children.pdf

     (10K)
    This is the declaration of guardian form set forth in Section 677A of the Texas Probate Code and Sections 1104.153-1104.154 of the Texas Estates Code that permits a parent to designate a guardian for his or her children in the event of the parent's incapacity or death (pdf format).
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    Directive_To_Physicians.doc

     (35K)
    This is the directive to physicians and family or surrogates ("living will") form set forth in Section 166.033 of the Texas Health and Safety Code, modified to permit it to be signed in front of a notary rather than two witnesses (as permitted by Section 166.032(b-1)) (Word format).
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    Directive_To_Physicians.pdf

     (15K)
    This is the directive to physicians and family or surrogates ("living will") form set forth in Section 166.033 of the Texas Health and Safety Code, modified to permit it to be signed in front of a notary rather than two witnesses (as permitted by Section 166.032(b-1)) (pdf format).
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    HIPAA_Authorization.doc

     (33K)
    This is a form for a blanket authorization to release medical information. It is not a statutory form and may not accomplish its intended purpose (Word format).
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    HIPAA_Authorization.pdf

     (10K)
    This is a form for a blanket authorization to release medical information. It is not a statutory form and may not accomplish its intended purpose (pdf format).
  • File

    Medical_Power_of_Attorney.doc

     (39K)
    Use this form only until December 31, 2013: This is a form for a medical power of attorney and related disclosure statement which are set forth in Sections 116.163 and 116.164 of the Texas Health and Safety Code, modified to permit it to be signed in front of a notary rather than two witnesses (as permitted by Section 116.154(b))(Word format).
  • File

    Medical_Power_of_Attorney.pdf

     (16K)
    Use this form only until December 31, 2013: This is a form for a medical power of attorney and related disclosure statement which are set forth in Sections 116.163 and 116.164 of the Texas Health and Safety Code, modified to permit it to be signed in front of a notary rather than two witnesses (as permitted by Section 116.154(b))(pdf format).
  • File

    Statutory_Durable_Power_of_Attorney.Basic.doc

     (28K)
    Use this form only until December 31, 2013: This is the basic form for a statutory durable power of attorney set forth in Section 490 of the Texas Probate Code (Word format).
  • File

    Statutory_Durable_Power_of_Attorney.Basic.pdf

     (11K)
    Use this form only until December 31, 2013: This is the basic form for a statutory durable power of attorney set forth in Section 490 of the Texas Probate Code (pdf format).
  • File

    Statutory_Durable_Power_of_Attorney.Modified.doc

     (50K)
    Use this form only until December 31, 2013: This is a form for a statutory durable power of attorney which is based on the one set forth in Section 490 of the Texas Probate Code but with modifications by Glenn Karisch (Word format).
  • File

    Statutory_Durable_Power_of_Attorney.Modified.pdf

     (28K)
    Use this form only until December 31, 2013: This is a form for a statutory durable power of attorney which is based on the one set forth in Section 490 of the Texas Probate Code but with modifications by Glenn Karisch (pdf format).