Homepage Attorney-Verified New Jersey Living Will Template
Article Guide

Throughout life, uncertainty can present challenging decisions, especially when it comes to health care preferences in situations where one may not be able to express their wishes directly. The New Jersey Living Will form, also known as an Advance Directive, serves as a critical tool in this regard. It allows individuals to outline their preferences for medical treatment and end-of-life care in advance, ensuring that their wishes are known and respected even if they become unable to communicate them due to illness or incapacity. This document covers not only the types of medical interventions a person may or may not want, such as artificial life support, but also appoints a health care representative entrusted with making decisions on their behalf. With sections tailored to capture detailed instruction about a variety of potential medical scenarios, the form is designed to offer peace of mind to individuals and their families, providing clarity and guidance during emotionally difficult times. The importance of understanding and correctly completing the New Jersey Living Will cannot be overstated, as it plays a pivotal role in personal health care planning, safeguarding one’s autonomy and ensuring that personal values and preferences are honored.

Sample - New Jersey Living Will Form

New Jersey Living Will Template

This New Jersey Living Will is made in accordance with the New Jersey Advance Directives for Health Care Act. It allows you to describe the kinds of medical treatment you want or do not want if you become unable to make your own decisions. By filling out this document, you can ensure your healthcare preferences are respected by your doctors and loved ones.

Personal Information

Full Name: ___________________________________________

Date of Birth: ________________________________________

Address: _____________________________________________

City: ______________________ State: NJ Zip: _____________

Healthcare Directives

This section describes your wishes regarding medical treatment under certain conditions.

  1. If I am in a terminal condition, my directives for medical treatment are as follows:

    ___________________________________________________________
  2. If I am permanently unconscious, my wishes for medical treatment are:

    ___________________________________________________________
  3. In the event of an end-stage medical condition, I would like my healthcare providers to:

    ___________________________________________________________

Life-Sustaining Treatment

Under any of the above conditions, my preferences regarding the use of life-sustaining treatment, including artificial nutrition and hydration, are:

______________________________________________________________

Primary Healthcare Representative

I appoint the following individual as my Primary Healthcare Representative to make healthcare decisions for me if I become incapable of making healthcare decisions for myself.

Name: _____________________________________________________

Relationship: ______________________________________________

Phone Number: _____________________________________________

Address: __________________________________________________

Alternative Healthcare Representative

If my primary representative is unable, unwilling, or unavailable to act on my behalf, I appoint the following individual as an alternative:

Name: _____________________________________________________

Relationship: ______________________________________________

Phone Number: _____________________________________________

Address: __________________________________________________

Signatures

This document represents my healthcare preferences. I affirm that I am of sound mind and I understand the consequences of this document. I execute this Living Will voluntarily and without any undue influence.

Signature: ______________________________ Date: ____________

Witness (1) Signature: ____________________ Date: ____________

Printed Name: _____________________________

Witness (2) Signature: ____________________ Date: ____________

Printed Name: _____________________________

Affirmation by Healthcare Representative:

I, __________________________, affirm that the declarant has personally requested that I serve as their healthcare representative. I accept this responsibility and agree to act in accordance with the wishes of the declarant to the best of my knowledge and belief.

Signature: ______________________________ Date: ____________

PDF Form Information

Fact Description
Official Name New Jersey Advance Directive for Health Care (Living Will)
Governing Law New Jersey Advance Directives for Health Care Act, N.J.S.A. 26:2H-53 to -78
Main Purpose To allow individuals to outline their preferences for medical treatment and life-sustaining measures in the event they become unable to communicate their wishes.
Requirements for Validity The document must be signed by the declarant or at the declarant's direction and witnessed by two adults or notarized.
Who Can Make One Any adult with the capacity to make health care decisions can create a Living Will.
Revocation Can be revoked at any time by the declarant through a signed, dated writing; by physically destroying it; or by orally notifying the attending physician, health care institution, or a witness.

How to Write New Jersey Living Will

Creating a Living Will is an important step in ensuring your health care preferences are honored. In New Jersey, the process for completing a Living Will, also known as an Advance Directive, is straightforward. This document allows you to specify your wishes for medical treatment if you become unable to express those preferences yourself. Once completed, it's advisable to discuss your decisions with your healthcare professional and a trusted loved one. Follow these steps to complete your New Jersey Living Will accurately.

  1. Collect the necessary information, including your full legal name, date of birth, and social security number.
  2. Decide on your healthcare representative. This is the person who will make decisions on your behalf if you're unable to do so. Make sure to have their full name, address, and contact information.
  3. Determine your wishes regarding life-sustaining treatment, such as the use of ventilators, feeding tubes, and CPR. Consider various scenarios, including terminal illness, permanent unconsciousness, and other end-of-life situations.
  4. Complete the section on organ and tissue donation, if you choose to donate. Specify any limitations to your donation.
  5. Review the New Jersey specific requirements for witnesses or notarization. Some states require the Living Will to be witnessed or notarized to be considered valid.
  6. Sign and date the form in the presence of the required witnesses or notary. Ensure they fulfill their roles accordingly by either witnessing or notarizing the document.
  7. Provide copies of the completed Living Will to your healthcare representative, family members, and healthcare providers. Keep the original document in a safe but accessible location.

After finishing your Living Will, it's crucial to keep the dialogue open with the individuals involved, especially your healthcare representative and family members. Updating the document as your health or preferences change ensures that it accurately reflects your wishes. Remember, a Living Will is a key component of healthcare planning, providing peace of mind for both you and your loved ones.

Key Details about New Jersey Living Will

What is a New Jersey Living Will?

A New Jersey Living Will, also known as an Advance Directive for Health Care, is a legal document that allows individuals to outline their preferences for medical treatment should they become unable to make decisions for themselves due to incapacitation. This form enables a person to specify the kinds of life-sustaining treatments they would or would not want, such as ventilator use, feeding tubes, or resuscitation efforts. It can also be used to appoint a healthcare representative to make decisions on their behalf.

How can I create a New Jersey Living Will?

To create a Living Will in New Jersey, you must fill out the appropriate form, which typically requires your personal information, your healthcare preferences, and the designation of a healthcare representative or proxy. It's crucial that you clearly articulate your desires regarding life-sustaining treatment and other health care decisions. Once completed, the document needs to be signed in the presence of two adult witnesses, who cannot be the appointed healthcare representative or have any interest in your estate, or a notary public. It's recommended to consult with an attorney to ensure that the document accurately reflects your wishes and is completed correctly.

Is a Living Will the same as a Power of Attorney in New Jersey?

No, a Living Will and a Power of Attorney (POA) for healthcare are not the same in New Jersey, though they both play important roles in healthcare decision-making. A Living Will specifically addresses your personal healthcare preferences in the event you are unable to communicate those wishes. In contrast, a Healthcare Power of Attorney appointse someone else to make healthcare decisions on your behalf based on their understanding of your wishes and values, which may or may not be limited to end-of-life decisions. Essentially, a Living Will speaks for you when you cannot, while a POA appoints someone else to speak for you.

Can I change or revoke my New Jersey Living Will?

Yes, you have the right to change or revoke your New Jersey Living Will at any time, as long as you are of sound mind. To do so, you should inform your healthcare provider, your healthcare representative, and any other relevant parties in writing. Destroying the original document and creating a new one can also serve as a revocation. If you decide to create a new Living Will, it's critical to ensure that it is signed, dated, and witnessed or notarized according to state laws, just as with the original. Communicating these changes to everyone involved is key to ensuring that your new wishes are respected.

Common mistakes

Living wills are critical documents that specify a person's wishes regarding medical treatment in scenarios where they are unable to make decisions for themselves. In New Jersey, making a living will is a straightforward process, but errors can and do occur. Recognizing and avoiding these mistakes is crucial for ensuring your wishes are respected and followed.

  1. Not being specific enough. One common mistake is not providing detailed instructions in the living will. This document is your voice when you cannot speak for yourself, so clarity is key. Instead of broad statements like "I don't want extraordinary measures," specify what treatments you do or do not want. For example, clarify your wishes regarding artificial nutrition, respiration, or resuscitation efforts.
  2. Failing to appoint a durable power of attorney for health care. While the living will outlines your desires, appointing someone to act on your behalf - a health care proxy or power of attorney - is equally important. This person makes decisions when your living will's instructions do not cover a particular situation. Not designating someone or choosing someone without discussing your wishes can lead to decisions that don't align with your values.
  3. Overlooking the need for witnesses or notary. New Jersey law requires your living will to be either notarized or signed by two witnesses. The witnesses must be adults and cannot be individuals who have a vested interest in your estate. Skipping this step or not following it properly renders your living will invalid, which means your wishes may not be honored.
  4. Not informing your healthcare provider and family. Simply filling out the form isn't enough. If your healthcare provider and close family members are unaware of the existence of your living will, your wishes might not be followed. Ensure that copies of your living will are easily accessible to them and that they understand your preferences.
  5. Not reviewing and updating. Life changes, such as new diagnoses, changing relationships, or evolving beliefs, may influence your decisions about end-of-life care. A significant mistake people make is not revisiting their living will periodically. Ensure that your document reflects your current wishes, and remember to communicate any changes to your healthcare proxy, family, and healthcare providers.

Avoiding these mistakes ensures that your healthcare preferences are clearly understood and respected. A thoughtfully prepared and executed living will ensures that you retain control over your medical treatment, even when you can't express your wishes verbally. It’s a fundamental step in healthcare planning that provides peace of mind to both you and your loved ones.

Documents used along the form

When preparing for future healthcare decisions, individuals often consider creating a Living Will as a foundational document. This ensures their healthcare wishes are respected and followed in scenarios where they can no longer communicate their desires. Alongside a Living Will, there are several other important documents that can support and clarify a person's preferences and instructions for medical care, financial management, and after-life planning. These documents often complement a Living Will, offering a comprehensive approach to planning and ensuring individuals are well-prepared for various future circumstances.

  • Durable Power of Attorney for Healthcare: This document designates an individual, known as a healthcare proxy or agent, to make healthcare decisions on behalf of the person if they are unable to do so. It's crucial because it allows this agent to have the authority to make decisions that aren't covered by the Living Will, providing flexibility and ensuring that someone familiar with the person's wishes can oversee their care.
  • Financial Power of Attorney: It authorizes someone to handle financial affairs on the person's behalf. This can include paying bills, managing investments, and handling other financial matters if the individual becomes incapacitated. It ensures that the person’s financial obligations are taken care of, which is particularly important when long-term care or hospitalization is needed.

    .
  • Last Will and Testament: This document is used to direct how an individual's property and assets should be distributed after their death. While not directly related to medical decisions, it is often discussed and created along with a Living Will to ensure all aspects of an individual’s wishes are documented and legally in place. It helps prevent disputes among survivors and can designate guardians for any minor children.
  • Do Not Resuscitate (DNR) Order: A DNR is a medical order usually obtained from a physician stating that in the event of a cardiac or breathing stoppage, resuscitation efforts should not be attempted. This document needs to be signed by a doctor and is often included in medical records, especially for individuals with serious illnesses or at the end of life. It is a specific directive that supplements a Living Will by addressing a particular medical situation.

Together, these documents offer a comprehensive framework for personal and medical decision-making. By creating these documents, individuals can ensure that their wishes regarding medical treatment, financial management, and asset distribution are known and respected, providing peace of mind to themselves and their families. It is advisable to consult with legal and healthcare professionals when preparing these documents to ensure that they are properly executed and legally binding.

Similar forms

The New Jersey Living Will form shares similarities with the Advance Healthcare Directive. Both documents allow individuals to outline their preferences for medical treatment in the event they are no longer able to communicate their wishes themselves. They provide guidance to healthcare providers and loved ones about the types of life-sustaining treatments, such as artificial life support, that an individual would or would not want to receive.

Comparable to the Power of Attorney for Health Care, the New Jersey Living Will enables an individual to appoint a healthcare representative. This representative is empowered to make medical decisions on behalf of the individual, guided by the preferences expressed in the Living Will, should the individual become incapacitated and unable to communicate their own healthcare decisions.

The Durable Power of Attorney for Health Care is another document with parallels to the New Jersey Living Will. Although it primarily focuses on the appointment of a health care agent, it often includes provisions for the type of medical care the individual desires, blending aspects of both selecting a decision-maker and guiding medical choices.

The Do Not Resuscitate (DNR) Order also shares commonalities with the Living Will. While a DNR specifically instructs healthcare providers not to perform CPR if an individual’s breathing or heartbeat stops, a Living Will encompasses a broader range of medical treatments but can include instructions similar to those found in a DNR order regarding emergency lifesaving measures.

Similar to the Medical Orders for Life-Sustaining Treatment (MOLST), the New Jersey Living Will provides detailed instructions regarding an individual’s preferences for end-of-life care, including the use of intubation, mechanical ventilation, and other life-sustaining treatments. However, the MOLST is often more immediately actionable and medical in scope, focusing on very specific medical orders.

The Five Wishes Document is similar to the New Jersey Living Will in its comprehensive approach to end-of-life planning. It covers medical, personal, emotional, and spiritual wishes, providing a broader scope than most living wills but with the same core purpose: to ensure an individual’s preferences are honored when they can no longer speak for themselves.

The Ethical Will, while not a legal document, shares the spirit of the New Jersey Living Will by providing a means for individuals to communicate values, life lessons, and wishes to their loved ones. Unlike a Living Will, which is focused on medical decisions, an Ethical Will is more about leaving a personal legacy.

An Out-of-Hospital Do Not Resuscitate (OOH-DNR) Order, similar to a Living Will, advises medical personnel not to perform life-saving treatments on individuals with terminal conditions in non-hospital settings. Both documents are designed to respect the patient's wishes regarding end-of-life care, though the OOH-DNR is more specific to emergency medical services outside of hospital settings.

The Healthcare Proxy is akin to the section within a New Jersey Living Will that designates a health care representative. This proxy form allows an individual to appoint someone else to make healthcare decisions on their behalf, should they become unable to make those decisions themselves. Both documents serve the crucial role of identifying a decision-maker according to the individual’s choices.

Lastly, the Physician Orders for Scope of Treatment (POST) is somewhat similar to a New Jersey Living Will in that it outlines a patient's wishes regarding the extent of treatment they wish to receive, particularly regarding life-sustaining treatments. The POST is designed for seriously ill or frail individuals and is intended to accompany them across different care settings, ensuring their treatment preferences are respected wherever they are receiving care.

Dos and Don'ts

Filling out a Living Will in New Jersey is a profoundly significant step in planning for future healthcare decisions. It's important to approach this process with attention to detail. Here are some essential dos and don'ts to keep in mind:

  • Do read the instructions carefully before you start filling out the form. Understanding each part ensures that your wishes are clearly expressed.
  • Do consider discussing your decisions with family, close friends, and healthcare providers. These conversations can help clarify your wishes and ensure that others understand your healthcare preferences.
  • Do use clear and precise language. Avoid ambiguity to ensure that your healthcare wishes are understood exactly as you intend.
  • Do consult with a healthcare professional if you have questions about medical terms or treatment options. Accurate information can help you make informed decisions.
  • Do update your Living Will as needed. Changes in your health status, personal beliefs, or relationships may prompt revisions to ensure the document reflects your current wishes.
  • Don't leave any sections incomplete. If a particular question or section does not apply to you, clearly indicate this by writing “N/A” (not applicable) to avoid any confusion.
  • Don't use unclear terms or vague language. Ambiguities can lead to uncertainties about your healthcare preferences, potentially causing stress for your loved ones and healthcare providers.
  • Don't forget to sign and date the form in the presence of the required witnesses or a notary public, as per New Jersey law. An unsigned or undated Living Will is not legally valid.
  • Don't neglect to distribute copies of the completed form to your healthcare proxy (if you have appointed one), close family members, and your primary healthcare provider to ensure that your wishes are known and can be accessed when necessary.

Misconceptions

When it comes to planning for future health care decisions, the New Jersey Living Will is a critical tool residents have at their disposal. However, there are several misconceptions about this document that can lead to confusion and misunderstanding. Here are six common misconceptions about the New Jersey Living Will form:

  • A Living Will is the same as a Last Will and Testament. A Living Will specifically relates to health care decisions, such as whether to continue life support or accept certain treatments, if you're unable to make those decisions yourself. A Last Will and Testament deals with the distribution of your estate after your death.
  • You must have a lawyer to create a Living Will. While consulting with a lawyer can be beneficial, especially in complex situations, New Jersey residents can complete a Living Will on their own. Forms are available that meet legal requirements, but it's crucial to ensure they're properly filled out and witnessed.
  • Once completed, you cannot change your Living Will. You can update or revoke your Living Will at any time as long as you are mentally competent. Life circumstances and perspectives change, and your Living Will can reflect these changes.
  • A Living Will is only for the elderly. People of all ages can face sudden medical emergencies or incapacitation. Having a Living Will is a prudent decision at any adult age, ensuring your health care wishes are known and respected, no matter what your age is.
  • Living Wills are too complicated to understand. While legal documents can be intimidating, Living Will forms designed for New Jersey residents are structured to be straightforward. They include clear instructions and can often be completed without legal assistance, although advice from a knowledgeable professional can be helpful in complex situations.
  • A Living Will takes away the power of decision from family members. Rather than taking power away, a Living Will provides clarity and guidance to your loved ones during a highly stressful time. It communicates your wishes directly, reducing the burden on family members to make tough decisions on your behalf.

Understanding the realities of the New Jersey Living Will can empower residents to make informed decisions about their health care wishes, providing peace of mind for themselves and their families.

Key takeaways

Filling out and using the New Jersey Living Will form is an essential step in managing your healthcare preferences. Below are key takeaways to guide you through this process.

  • Before starting, understand that a Living Will, often referred to as an Advance Directive, allows you to outline your wishes for medical treatment in case you are unable to communicate them yourself.
  • It's crucial to discuss your healthcare preferences with your family, healthcare proxy, and possibly your healthcare provider before completing the form. This ensures your wishes are understood and can be followed.
  • Ensure your Living Will is legally binding. New Jersey law requires your signature to be witnessed by two individuals who are not beneficiaries of your estate, or it must be notarized.
  • Be as specific as you can when outlining your treatment preferences in the document. This may include instructions on life-sustaining treatments, resuscitation, and the use of ventilators or feeding tubes.
  • Select a healthcare representative very carefully. This person will have the authority to make healthcare decisions on your behalf in accordance with your expressed wishes when you're incapacitated.
  • Once completed, distribute copies of your Living Will to your healthcare proxy, family members, and doctors to ensure your wishes are accessible when needed. Keep the original document in a safe but accessible place.
  • Remember, you can revise or revoke your New Jersey Living Will at any time, as long as you are competent. It's recommended to review and potentially update the document regularly, especially after significant life events.

Completing a Living Will is a proactive step in managing your healthcare. It provides clarity and peace of mind for you and your loved ones, ensuring that your healthcare wishes are known and respected.

Please rate Attorney-Verified New Jersey Living Will Template Form
4.72
Top-notch
198 Votes