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 document used to waive an individual's right to serve as a surrogate decision maker for another person. This form should be completed when an individual has been designated by an interdisciplinary team to make decisions on behalf of someone else, but they no longer wish to fulfill this role.

This form requires the individual's name, social security number, and facility information, as well as their consent to waive their right to serve as a surrogate decision maker. The form also asks for the name and relationship of the person who is currently serving in this capacity, as well as their consent to be designated as the new surrogate decision maker.

The waiver will remain in effect until it is revoked by the individual in writing and delivered to the facility. This form is an important tool for individuals who need to relinquish their role as a surrogate decision maker, ensuring that they are no longer responsible for making decisions on behalf of another person.