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This document contains the following sections:
- Part I: Designation of a Health Care Representative
- Part II: Instruction Directive (Living Will)
Laws
Definition – “Advance directive for health care” or “advance directive” means a writing executed in accordance with the requirements of P.L.1991, c.201. An “advance directive” may include a proxy directive or an instruction directive, or both (§ 26-2H-55).
Signing Requirements – Notarization by a licensed official will be necessary or corroboration by two (2) subscribing witnessing parties (§ 26-2H-56).
Revocation – § 26-2H-57
Other Versions (8)
- AARP (Caring Connections)
- Bacharach Institute for Rehabilitation
- Five Wishes (Aging with Dignity)
- Hackensack UMC
- Jefferson Health
- NJ Catholic Conference
- Prepare for Your Care
- Valley Health System
AARP (Caring Connections) Version
Download: Adobe PDF
Instructions: Adobe PDF
Bacharach Institute for Rehabilitation Version
Download: Adobe PDF
Five Wishes (Aging with Dignity) Version
Download: Adobe PDF
Information: Adobe PDF
Hackensack University Medical Center Version
Download: Adobe PDF
Information: Adobe PDF
Download: Adobe PDF
Instructions/Information: Adobe PDF
New Jersey Catholic Conference Version
Download: Adobe PDF
Information: Adobe PDF
Prepare for Your Care Version (also available in Spanish/en Español)
Download: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
Additional Resources
- Cooper University Health Care – Advance Directives and Living Wills
- Middlesex County Govt. Website – What is an Advance Directive for Health Care
- Newark Beth Israel Medical Center – About Advance Directives
- NJ Dept. of Health and Senior Services – Advance Directives in New Jersey
- NJ Health Care Quality Institute – Conversations of Your Life Brochure (also available in Spanish/en Español)
- State of New Jersey Dept. of Health – Frequently Asked Questions
- State of New Jersey Dept. of Health – POLST Brochure
- State of New Jersey Dept. of Health – What is an Advance Directive
Related Forms (4)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- POLST Form
- Psychiatric Advance Directive
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF, MS Word (.docx)
Practitioners Orders for Life-Sustaining Treatment (POLST) (also available in Spanish/en Español)
Download: Adobe PDF
Psychiatric Advance Directive (also available in Spanish/en Español)
Download: Adobe PDF
Instructions/Information: Adobe PDF
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