Create a Paper Advance Care Plan
If you prefer to work with paper-based documents, you may download any of the forms linked below, available in both English and Spanish. After completing the forms, you may either upload them yourself via the MyBSWHealth Patient Portal or bring them to your physician's office to be scanned and uploaded there.
Tip: Choose the forms that best suit your needs — it is not mandatory to fill out every document. However, the most preferred document to complete is the Living Will, which has the best track record of ensuring patients' wishes are followed.
Living Will - Texas Directive to Physicians, Families or Surrogates
The best and most preferred way to ensure your wishes are followed. Select whether to withhold or continue treatments, designate your medical decision-makers (if you do not have a Medical Power of Attorney) and outline any additional requests.
Simplified Advance Care Planning Guide and Living Will
This document gives a quick overview of advance care planning and also includes an easy-to-fill-out Living Will form.
Medical Power of Attorney
Designate a trusted adult to be your medical decision-maker in the event that you cannot speak for yourself. If you do not complete a Medical Power of Attorney form, Texas law will appoint a family member for you.
Out-of-Hospital Do-Not-Resuscitate Form
Fill out this form if you choose to forgo resuscitation and prefer a natural death, with peace and dignity.