Directive to Physicians and Family or Surrogates

Advance Directives Act (see §166.033, Health and Safety Code)

This is an important legal document known as an Advance Directive. It is designed to help you
communicate your wishes about medical treatment at some time in the future when you are unable
to make your wishes known because of illness or injury. These wishes are usually based on
personal values. In particular, you may want to consider what burdens or hardships of treatment
you would be willing to accept for a particular amount of benetit obtained if you were seriously ill.

You are encouraged to discuss your values and wishes with your family or chosen spokesperson,
as well as your physician. Your physician, other health care providerI or medica! institution may
provide you with various resources to assist you in completing your advance directive. Brief
definitions are listed below and may aid you in your discussions and advance planning. Initial the
treatment choices that best reflect your personal preferences. Provide a copy of your directive to
your physician, usual hospital, and family or spokesperson. Consider a periodic review of the
document. By periodic review, you can best assure that the directive reflects your preferences.

In addition to this advance directive, Texas law provides for two other types of directives that can
be important during a serious illness. These are the Medical Power of Attorney and the
Hospital Do-Not-Resuscitate Order. You may wish to discuss these with your physician, family,
hospital representative, or other advisers. You may also wish to complete a directive related to the
donation of organs and tissues.