Revocation of Directive to Physicians and Family or Surrogates (Texas)

This form is a revocation of Form TX-P021 that 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. You may revoke a directive at any time without regard to your mental state or competency by canceling, defacing, obliterating, burning, tearing, or otherwise destroying the directive or having someone do so for you, by signing and dating a written revocation such as this form that expresses your intent to revoke the directive or by orally stating your intent to revoke the directive.