Living Will & Health Care Directive Lawyer in Houston, TX
A living will lawyer in Houston drafts a Texas Directive to Physicians and Family or Surrogates, the document that states which life-sustaining treatments you want or refuse if you have a terminal or irreversible condition. It speaks for you when you can't, so your family doesn't have to guess.
Maybe you've watched a family member face end-of-life decisions without clear instructions, or you simply want your wishes on record. Francisca F. Manchac has helped Houston families plan for more than 18 years, and she pairs your living will with a medical power of attorney and a HIPAA authorization, so doctors know your wishes and who speaks for you. Call (832) 263-0935 to schedule a free consultation.
Francisca F. Manchac | Licensed in Texas since 2009 | Last Updated: October 2026

Key Takeaways
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In Texas, a living will is formally called a Directive to Physicians and Family or Surrogates, and it applies only to a terminal or irreversible condition.
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You can revoke a Texas living will at any time, regardless of your mental state, by destroying it, revoking it in writing, or telling your doctor.
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A living will states your wishes, while a medical power of attorney names who decides, and most Houston families sign both together.
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A Texas out-of-hospital DNR is a separate order your physician must sign, so it isn't part of a living will.
Who Needs a Living Will in Houston?
You need a living will if you're 18 or older and have wishes about end-of-life care you want honored.
That covers every Houston adult, but especially anyone facing a serious diagnosis, major surgery, or aging. Without one, your doctor and family members make end-of-life decisions under Texas law's default order, and they may not agree. A living will works best alongside a medical power of attorney, as part of a complete Houston estate plan. The firm drafts planning documents only. It does not handle guardianship cases or disputes over medical decisions, and it refers that work to trusted colleagues.
Common Situations Handled
Most Houston clients sign a living will after a life event makes end-of-life care feel personal.
Planning Ahead for Aging
Putting your wishes in writing now spares your family from guessing during a medical crisis.
A Serious Diagnosis
A new diagnosis is a reason to decide, while you can, which treatments you'd want or refuse.
An Upcoming Surgery
Signing before a major procedure means your wishes are on file if complications arise.
Couples Protecting Each Other
A living will spares your spouse or partner from carrying a life-or-death decision alone.
Strong Personal or Religious Values
Your directive can record the beliefs you want doctors and family to honor.
Young Adults Turning 18
At 18, your child makes their own medical decisions, so their wishes belong in writing.
Why Hiring a Living Will Lawyer Matters
A living will is read when you can't explain what you meant. Clear wording and a valid signing decide whether your wishes are followed.
What Goes Wrong Alone
A disqualified witness, wishes that conflict with your medical power of attorney, vague instructions, or no copy at the hospital.
What Experience Adds
An attorney meets the Texas signing rules and keeps your directive, medical power of attorney, and HIPAA release consistent.
How Outcomes Differ
Clear documents let your family honor your wishes with confidence. Gaps can leave them arguing at the bedside.
“
Francisca did my estate plan. It was so easy and I understood all the documents. She is great to work with and really knows her stuff.
Nicky · Estate planning client
Who Is Involved?
A living will guides the people caring for you when you can't speak. Each one below has a defined role.
You
Decide your wishes about life-sustaining treatment and sign your directive.
Your Attorney
Francisca drafts your directive and coordinates a valid signing.
Your Family or Agent
Speaks with your doctors and helps carry out your wishes.
Your Attending Physician
Certifies your condition and follows your directive.
Witnesses or a Notary
Confirm your signature under Texas rules.
What Your Living Will Includes
Your plan gives you a signed Texas Directive to Physicians and the documents that work alongside it. You also get peace of mind: your family won't have to guess what you wanted.
What You Receive
- Directive to Physicians: Your Texas living will stating your wishes about life-sustaining treatment.
- Medical Power of Attorney: Names the person who makes health care decisions for you.
- HIPAA Authorization: Lets your doctors share information with the people you choose.
- Appointment of Agent for Remains: Names who decides on burial or cremation arrangements.
What You Avoid
- Guesswork: Family members trying to decide what you would have wanted.
- Family Conflict: Relatives disagreeing at the hardest possible moment.
- Unwanted Treatment: Care that only prolongs dying when you'd have refused it.
- Privacy Roadblocks: Doctors unable to share information with your family.
Texas Rules That Shape Your Living Will
Texas has its own statutory form and rules for living wills. These three matter most for Houston families.
2 Witnesses or 1 Notary: Signing Your Directive
Under Chapter 166 of the Texas Health and Safety Code, you sign your directive before two qualified witnesses or a notary. At least one witness can't be related to you, entitled to your estate, your doctor or the doctor's employee, or an employee of your health care facility involved in your care.
2 Conditions: When Your Directive Applies
Your directive applies only if your attending physician determines you have a terminal condition or an irreversible condition. Until then, you make your own decisions. That's why a medical power of attorney matters too: it covers every situation your directive doesn't.
1 Exception: Pregnancy
Texas law doesn't allow life-sustaining treatment to be withdrawn or withheld from a pregnant patient under a directive. The Texas form states this limit. Francisca explains how it works so your directive reflects Texas law accurately.
What Happens After You Call The Law Offices of Francisca Manchac, PLLC
Your living will moves through five steps, from a free video consultation to signed documents your doctors and family can use, with a flat fee set before work begins.
01
Free Consultation and Intake
Book an Estate Planning consultation and complete the intake form at least 24 hours ahead. Francisca learns your wishes and values.
02
Custom Plan Design
You confirm your plan and flat fee, sign an engagement agreement, and Francisca drafts your directive and companion documents.
03
Plain-Language Review
Francisca walks you through each choice by video, so your directive says exactly what you mean.
04
Witnessed Signing
Francisca coordinates your signing with qualified witnesses or a notary, as Texas law requires.
05
Sharing Your Documents
You give copies to your doctors, your agent, and your family, and keep the originals safe.
Common Questions About Living Wills in Houston
Something else on your mind? Call or text (832) 263-0935.
How much does a living will cost in Houston?
Francisca prepares living wills for a flat fee, so you know the full cost before work begins and never pay by the hour for questions. Most Houston clients get their living will as part of a complete plan that also includes a medical power of attorney, a HIPAA authorization, a durable financial power of attorney, and a will. The fee depends on which documents your family needs. Your first step is a free 30-minute virtual consultation, where Francisca recommends the right plan and quotes your flat fee.
Do I need a lawyer to make a living will in Texas?
Texas doesn't require one, and the state publishes a free form. The form works when it's completed and signed correctly. Where people run into trouble is the signing rules, choices that conflict with their medical power of attorney, or vague instructions that leave family guessing. A living will also works best alongside a medical power of attorney and a HIPAA authorization, which a standalone form doesn't give you. An attorney-drafted plan keeps all three consistent and correctly signed.
What's the difference between a living will and a medical power of attorney?
A living will states your own wishes about life-sustaining treatment if you have a terminal or irreversible condition. A medical power of attorney names the person who makes health care decisions for you whenever you can't, in any situation. Most people need both: the living will speaks for you at the end of life, and your agent speaks for you in every other situation and helps carry out your wishes.
What's the difference between a living will and a regular will?
A living will covers medical care while you're alive. A regular will, or last will and testament, covers who receives your property after you die. They share a name but do completely different jobs. A complete estate plan includes both, along with powers of attorney for money and health care.
What decisions can I make in a Texas living will?
A Texas living will lets you decide whether to receive or refuse life-sustaining treatment if you have a terminal or irreversible condition. That includes breathing machines, artificial nutrition and hydration, and other treatments that would only prolong the dying process. You can also state wishes about pain relief and comfort care, which you'll always receive. Many people add personal values or religious beliefs to guide their family and doctors.
Who makes medical decisions if I don't have a living will or medical power of attorney?
Texas law lets your doctor make end-of-life decisions with family members in a set order, starting with your spouse, then your adult children, then your parents. That works until relatives disagree, the person with priority isn't someone you'd choose, or your unmarried partner has no say at all. A living will and medical power of attorney replace guesswork with your own written wishes and the person you trust.
Does a living will include a do-not-resuscitate order?
No. A living will addresses life-sustaining treatment in a hospital when you have a terminal or irreversible condition. A Texas out-of-hospital DNR is a separate order that tells paramedics and other emergency responders not to attempt resuscitation outside a hospital, and your attending physician must sign it. Francisca can explain how a DNR fits with your plan, and your doctor completes it with you.
Can I change or revoke my living will?
Yes. In Texas, you can revoke your living will at any time, regardless of your mental state or age, by destroying it, signing a written revocation, or telling your doctor you want to revoke it. Signing a new directive replaces the old one. Review your living will every few years, after a new diagnosis, or when your wishes change, and give updated copies to your doctors, your agent, and your hospital.
Is a living will from another state valid in Texas?
Generally, yes. Texas honors an advance directive that was validly signed under the law of the state where it was signed. Hospitals tend to work more smoothly with the Texas form, though, and an out-of-state document may not use Texas terms or line up with a Texas medical power of attorney. If you moved to Houston, signing new Texas documents is usually the simplest fix.
Should my 18-year-old have a living will?
Yes. At 18, your child makes their own medical decisions, and parents lose automatic authority to speak for them. A living will records their wishes, and a medical power of attorney and HIPAA authorization let a parent step in if they're hurt or seriously ill. Many Houston families sign these as part of estate planning for young adults before a child leaves for college.
Areas We Serve
The Law Offices of Francisca Manchac, PLLC serves Houston families from 3333 Allen Pkwy Unit 300, Houston, TX 77019, with consultations and reviews by video. Keep copies of your directive with your doctors and the Houston hospital systems where you receive care. Visit the Houston office page to see every service available to Houston clients.
Harris County
Fort Bend County
Montgomery County

Other Estate Planning Services We Offer
Get Started With a Living Will Lawyer in Houston
The best time to put your wishes in writing is while you're healthy and able to decide. Start with a free 30-minute virtual consultation with Francisca. Call (832) 263-0935 or book online.
