{"id":12442,"date":"2022-07-17T08:00:02","date_gmt":"2022-07-17T13:00:02","guid":{"rendered":"https:\/\/legaltalktexas.hammerle.com\/?p=12442"},"modified":"2025-06-18T13:34:31","modified_gmt":"2025-06-18T18:34:31","slug":"directive-to-physicians-the-texas-version-of-death-with-dignity","status":"publish","type":"post","link":"https:\/\/hammerle.com\/legaltalk\/estate-planning\/directive-to-physicians-the-texas-version-of-death-with-dignity\/","title":{"rendered":"Directive to Physicians: The Texas Version of \u201cDeath With Dignity\u201d"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Where you live could determine how you die.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ten states have approved a form of physician-assisted suicide. While the specifics may differ, so far all the states require the individual to be of sound mind and in their last six months of life to be eligible. Most also require that the individual be a resident of that state for a prescribed length of time. The commonly approved method for suicide is medication prescribed by a physician. Some states refer to it as \u201cAid-in-Dying\u201d or \u201cDeath with Dignity.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Physician-Assisted Suicide in Texas<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Texas does not allow physician-assisted suicide. It does not authorize mercy killing or permit a deliberate act or omission to end life. That prohibition includes intentionally taking medication to commit suicide.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Texas does, however, allow you to take steps to make sure that you are allowed to die naturally.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can do this by instructing that life-sustaining treatments be withheld or withdrawn. \u201cLife-sustaining treatments\u201d includes medications and artificial life support such as mechanical breathing machines, kidney dialysis treatment, feeding tubes and IVs used for hydration.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your instructions are only effective in two situations. The first situation is that you have been diagnosed with an irreversible condition that can never be cured, leaving you unable to care for or make decisions for yourself, and that will be fatal if you don\u2019t have life-sustaining treatment. The second situation is that you have been diagnosed with a terminal condition that will cause your death within six months even with a life-sustaining treatment.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Directive to Physicians Requirements<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You should give the instructions well in advance of being diagnosed with an irreversible or terminal condition by signing a document called a <\/span><a href=\"https:\/\/hammerle.com\/legaltalk\/family-law\/4-healthcare-documents-that-you-need\/\"><span style=\"font-weight: 400;\">Directive to Physicians<\/span><\/a><span style=\"font-weight: 400;\">. You must sign the form in front of two witnesses. You and your witnesses can sign the document on paper, digitally or electronically.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can also give your instructions verbally in front of two witnesses.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are specific requirements for the witnesses to forestall any shady dealings. Both the witnesses must be adults, and at least one must be completely disinterested. That is, the person cannot be your relative, health care agent, heir or <\/span><a href=\"https:\/\/hammerle.com\/legaltalk\/wills-trusts-estate-planning\/this-is-what-you-need-to-know-before-signing-a-will\/\"><span style=\"font-weight: 400;\">will<\/span><\/a><span style=\"font-weight: 400;\"> beneficiary, affiliated with your attending physician of the health care facility, or your creditor.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you don\u2019t want to use witnesses, then you can also just sign in front of a <\/span><a href=\"https:\/\/hammerle.com\/legaltalk\/estate-planning-and-probate\/witnesses-and-notaries\/\"><span style=\"font-weight: 400;\">notary<\/span><\/a><span style=\"font-weight: 400;\">. You do not need to have both witnesses and a notary present.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is a statutory form for the Directive that is found in the <\/span><a href=\"https:\/\/codes.findlaw.com\/tx\/health-and-safety-code\/\"><span style=\"font-weight: 400;\">Texas Health and Safety Code<\/span><\/a><span style=\"font-weight: 400;\">, but you are not obligated to use that specific form. Your physician and health care facility cannot require you to use a particular form. You can customize your <\/span><a href=\"https:\/\/www.hhs.texas.gov\/regulations\/forms\/advance-directives\"><span style=\"font-weight: 400;\">Directive<\/span><\/a><span style=\"font-weight: 400;\"> to provide for any number of eventualities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once you have issued your instructions, they are binding on the world. That includes your relatives, your agents, your doctor, and your hospital. They are not, however, binding on you. You can revoke them at any time verbally, in writing, or by physically destroying the paper. While you need to have capacity to issue the instructions, you need not have capacity to revoke or change your instructions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your instructions go into effect once your attending physician has certified in writing that you are a \u201cqualified patient,\u201d meaning that you have a terminal or irreversible condition. However, if you are pregnant, then the instructions will not be effective for the term of your pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nothing in the Directive can prohibit care that keeps you comfortable.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A Directive to Physicians should be part of your <\/span><a href=\"https:\/\/hammerle.com\/legaltalk\/estate-planning-and-probate\/15-common-estate-planning-documents-you-should-know-about\/\"><span style=\"font-weight: 400;\">estate plan<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Hammerle Morris Can Help With Your Estate Planning Needs<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you are looking for <\/span><a href=\"https:\/\/hammerle.com\/practice-areas\/estate-planning-probate\/estate-planning\/?_ga=2.78650647.2098104047.1654525337-181759580.1654023227\"><span style=\"font-weight: 400;\">estate planning<\/span><\/a><span style=\"font-weight: 400;\"> assistance, <\/span><a href=\"https:\/\/hammerle.com\/lewisville-attorney\/#form\"><span style=\"font-weight: 400;\">schedule a consultation<\/span><\/a><span style=\"font-weight: 400;\"> with one of the experienced <\/span><a href=\"https:\/\/hammerle.com\/lawyers\/\"><span style=\"font-weight: 400;\">attorneys<\/span><\/a><span style=\"font-weight: 400;\"> at Hammerle Morris to discuss your options.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Virginia Hammerle is in her fourth decade of practicing law. She is Board Certified in Civil Trial by the Texas Board of Legal Specialization and an Accredited Estate Planner. Contact her at legaltalktexas@hammerle.com or visit <\/span><\/i><a href=\"http:\/\/www.hammerle.com\/\"><i><span style=\"font-weight: 400;\">www.hammerle.com<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">. This column does not constitute legal advice.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Where you live could determine how you die.\u00a0 Ten states have approved a form of physician-assisted suicide. While the specifics may differ, so far all the states require the individual to be of sound mind and in their last six months of life to be eligible. Most also require that the individual be a resident [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":12443,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[1224],"tags":[],"class_list":{"0":"post-12442","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-estate-planning"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Texas Version of \u201cDeath With Dignity\u201d | Hammerle Morris Law Firm<\/title>\n<meta name=\"description\" content=\"Ten states have approved a form of physician-assisted suicide, but Texas does not allow it. 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