Island Presbyterian Church

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   Home      Advance Directives
Below are two different types of advance directives. You can execute one, or both, depending on your needs and situation. Download and complete the Texas forms below in English or Spanish. Share copies with your doctor and your family, and take copies with you to the hospital.

Directive to Physicians and Family or Surrogates 
  • This directive allows you to specify for the provision, withdrawal or withholding of medical care in the event of a terminal or irreversible condition.
  • Your condition must be certified by one physician.
Medical Power of Attorney 
  • This directive allows you to designate another person as your agent for making health care decisions if you become incompetent.
  • You do not have to have a terminal or irreversible condition for a medical power of attorney to be used.


For more details about advance directives, please click on the link below.

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