TX HHS Form 2727. Waiver of Designation as Surrogate Decision Maker

The TX HHS Form 2727, Waiver of Designation as Surrogate Decision Maker, is a crucial document that helps individuals waive their right to serve as a surrogate decision maker for another person. This form is typically used in situations where an individual has been designated by a facility's interdisciplinary team to make decisions on behalf of another person, but they no longer wish to fulfill this role.

This form requires the individual to provide specific information, including their name, social security number, and consent to the designation of another person as their surrogate decision maker. The form also outlines the conditions under which the waiver will continue in effect, namely until it is revoked by the individual in writing and delivered to the facility.

The key features of this form include the requirement for the individual's signature and date, as well as the option to designate another person as their surrogate decision maker. The form also includes a section for witness information, which serves as an added layer of verification. By using this form, individuals can formally waive their right to serve as a surrogate decision maker and ensure that their wishes are respected.

• This form is used in situations where an individual has been designated by a facility's interdisciplinary team to make decisions on behalf of another person.
• The form requires the individual's signature and date, as well as consent to the designation of another person as their surrogate decision maker.