Skip to main content
Reference · TX

Advance directives in Texas

A plain-language reference for families and caregivers. Not legal or medical advice — the forms and rules linked below are the Texas sources of truth.

Documents recognized in Texas

  • Medical power of attorney
  • Directive to Physicians (living will)
  • Out-of-hospital DNR
  • Texas MOST (medical orders)

How it’s signed

Texas directives are generally signed with two qualified adult witnesses OR acknowledged before a notary. At least one witness must not be involved in the person's care or estate.

When it takes effect

The Directive to Physicians guides care when the person is certified terminal or irreversible and cannot communicate. An out-of-hospital DNR takes effect once properly executed with the physician's signature.

Signing and taking effect are not the same moment for every document.

Where to find the Texas forms

Official forms: Texas Health & Human Services (hhs.texas.gov) — search 'advance directives'.

Requirements change. Always verify against your state’s current statutory form before relying on any summary — including this one.

Frequently asked in Texas

What advance-directive documents does Texas recognize?

Texas recognizes: Medical power of attorney; Directive to Physicians (living will); Out-of-hospital DNR; Texas MOST (medical orders).

How is an advance directive signed in Texas?

Texas directives are generally signed with two qualified adult witnesses OR acknowledged before a notary. At least one witness must not be involved in the person's care or estate.

When does an advance directive take effect in Texas?

The Directive to Physicians guides care when the person is certified terminal or irreversible and cannot communicate. An out-of-hospital DNR takes effect once properly executed with the physician's signature.

Where can families get the official Texas forms?

Official forms: Texas Health & Human Services (hhs.texas.gov) — search 'advance directives'.

Does CaraLoom provide legal or medical advice?

Reference content only — CaraLoom does not provide medical or legal advice. Requirements change; verify with your state's official forms.

Different state?

We publish plain-language references for every U.S. state and the District of Columbia. Return to the families hub to pick another.

All state references

CaraLoom is care-coordination software for hospitals and receiving providers. If your family member is being discharged, the discharge planner can share a read-only status view with you so you don’t have to chase updates on the phone.

Learn about the status view
CaraLoom

Care, woven into one continuous thread. From discharge to accepted placement to first visit — one record, one promise.

care@caraloom.com

Chantilly, VA 20151 · Serving providers nationwide

HIPAA-ready End-to-end encrypted Background-checked

CaraLoom is a care-coordination software platform, not a direct care provider. Hospitals and receiving providers use CaraLoom to coordinate discharge; clinical decisions and staffing remain with the licensed organizations and clinicians who use the platform. See our Trust page for what we verify.

A software platform, not a care provider

CaraLoom is a care-coordination software platform used by hospitals and receiving post-acute providers — not a healthcare provider, staffing agency, or employer of clinicians. Clinical decisions, staffing, and treatment remain the responsibility of the licensed organizations and clinicians who use the platform.

Coverage checks & orders

Eligibility and authorization checks surface information from third-party sources to help planners and providers coordinate discharge. They do not create coverage, guarantee payment, or replace payer determinations. Orders and consents signed in the platform carry a full audit trail; during pilot, e-signature runs in a non-binding test mode until vendor agreements are complete.

Profiles & verification

Provider organization profiles and clinician credentials are furnished by the organizations themselves and verified at onboarding, with license status monitored on an ongoing basis. No verification is ever exhaustive — hospitals remain responsible for their own due diligence when selecting receiving providers. See what we check on our Trust page.

AI guidance

AI features on the platform are informational tools that assist licensed users; they are not a substitute for professional medical advice, diagnosis, or treatment, and every consequential action is reviewed by a human user before it takes effect.

Emergencies

If you are experiencing a medical emergency, call 911.

Promotions & marks

Pilot pricing and program terms are subject to the written agreement between CaraLoom and the participating organization. CaraLoom℠ and “Care, woven into one continuous thread.” are service marks of CaraLoom, Inc. © 2026 CaraLoom, Inc. Your use of this site is subject to our Terms of Service and Privacy Policy.

© 2026 CaraLoom, Inc. All rights reserved. Care, woven into one continuous thread.

Get started

Install CaraLoom

Add to your home screen for one-tap access.