ADVANCE DIRECTIVES BENEFIT EVERYONE!

Advance Directive documents allow you to express your wishes when you are no longer able to speak for yourself. Even though it may be difficult to think about and discuss end-of-life choices, you will actually be saving your loved ones from having to guess what you wanted at a very difficult time.

Why Complete and Discuss Advance Directives?
Overview of Advance Directive Documents

Forms pertaining to Medical Care: 

• Directive to Physicians and Family or Surrogates (Living Will)
• Elective Advance Directive for Dementia
  This is an optional directive, developed for an adult education presentation on end-of-life choices involving dementia by Lamar W. Hankins, JD, lamarhankins@mac.com, with the gratefully received assistance of others.  This directive is intended for use as a supplement to the Directive to Physicians and/or the Medical Power of Attorney.
• Medical Power of Attorney
• Authorization to Disclose Protected Health Information
  A federal law known as HIPAA (Health Insurance Portability and Accountability Act) does not allow your healthcare providers to share your medical information with family members, caregivers, or friends. However, you can give your healthcare providers permission to share this information by filling out this form, which can be revoked at any time.
• Medical Decisions Worksheet
  This is not a legal directive but may be helpful in expressing instructions for your medical care.
• Out-of-Hospital Do-Not-Resuscitate Form

Forms pertaining to Final Disposition of Remains:

• Body Disposition Authorization
• Appointment for Disposition of Remains
  

Emergency Information Wallet Card (printable PDF file)
Should you suddenly need medical care when you’re away from home, this wallet-size card will provide essential information for EMS and other healthcare providers.
Note: Once printed double-sided, trimmed, and folded, the card fits into a slip case commonly used for credit cards, glasses cleaning cloths, and similar sized items. If you'd prefer, you may obtain a card and/or complimentary slip case by contacting FCACTX at 512-480-0555 or office@fcactx.org.