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Official Living Will Template for the State of New Jersey

A Living Will is a legal document that allows individuals in New Jersey to outline their preferences for medical treatment in the event they become unable to communicate their wishes. This form serves as a guide for healthcare providers and loved ones, ensuring that a person's healthcare decisions are respected. Understanding the nuances of this important document can empower individuals to take control of their medical care and make informed choices about their end-of-life preferences.

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Similar forms

Advance Directive: This document outlines a person's preferences for medical treatment in situations where they cannot communicate their wishes. Like a Living Will, it provides guidance to healthcare providers about the individual's desires regarding life-sustaining measures.
Durable Power of Attorney for Health Care: This legal document designates an individual to make healthcare decisions on behalf of another person. It complements a Living Will by allowing someone to act on behalf of the patient when they are unable to do so themselves.
Do Not Resuscitate (DNR) Order: A DNR order specifically instructs medical personnel not to perform CPR if a person's heart stops beating. It is similar to a Living Will in that it expresses the individual's wishes regarding end-of-life care.
Health Care Proxy: This document appoints someone to make medical decisions for an individual if they become incapacitated. It works alongside a Living Will by ensuring that a trusted person is available to interpret and implement the individual’s healthcare preferences.
Physician Orders for Life-Sustaining Treatment (POLST): POLST is a medical order that reflects a patient's preferences for treatment at the end of life. Like a Living Will, it is intended to guide healthcare providers in delivering care that aligns with the patient's wishes.
Organ Donation Form: This document specifies an individual's wishes regarding organ donation after death. While it focuses specifically on organ donation, it shares the intent of expressing personal choices about medical decisions and end-of-life care.
California ATV Bill of Sale: This essential document serves as evidence of the transfer of ownership for an all-terrain vehicle in California, detailing the transaction elements and is crucial for ensuring legal clarity, especially for resources like Fast PDF Templates.
Mental Health Advance Directive: This document allows individuals to outline their preferences for mental health treatment in case they are unable to communicate during a crisis. It is similar to a Living Will as it addresses healthcare decisions but focuses specifically on mental health issues.

Document Sample

New Jersey Living Will Template

This Living Will is a legal document designed for residents of New Jersey. It reflects your medical treatment preferences in situations where you are unable to communicate your wishes. This document is governed by New Jersey laws regarding advance directives.

Instructions: Please fill in the blanks with your information where applicable. Ensure that this document is signed and dated in accordance with New Jersey state requirements regarding witnesses and notarization.

Living Will Declaration

I, , born on , residing at , declare this to be my Living Will regarding my health care.

1. Medical Treatment Preferences

If I become unable to make health care decisions for myself, I direct my health care providers to adhere to the following preferences:

If I am diagnosed with a terminal illness and am unable to communicate, I do not want life-sustaining treatment, including resuscitation or mechanical ventilation.
If I am in a persistent vegetative state, I do not want the use of artificial nutrition and hydration.
If I require pain relief, even if it may hasten my death, I want to receive such treatment as long as my comfort is the priority.

2. Designation of Health Care Representative

I appoint the following individual as my health care representative to make decisions on my behalf:

Name:

Address:

Phone Number:

3. Signs and Sentiments

I desire that this Living Will is honored as my legal directive. I understand that I can revoke this document at any time, provided I do so in writing.

4. Signature and Witnesses

Signed this day of , .

Signature: _____________________________________________________

Witness 1 Name:

Witness 1 Signature: __________________________________________

Witness 2 Name:

Witness 2 Signature: __________________________________________

5. Notarization (Optional)

State of New Jersey, County of

Subscribed and sworn to before me on this day of , .

Notary Public Signature: _______________________________________

Notary Stamp:

This document is a crucial part of your health care planning. Be sure to discuss your wishes with family members and health care providers.

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Key takeaways

Filling out a Living Will in New Jersey is an important step in ensuring your healthcare wishes are respected. Here are some key takeaways to keep in mind:

Understand the Purpose: A Living Will outlines your preferences regarding medical treatment in case you become unable to communicate your wishes.
Eligibility: You must be at least 18 years old and of sound mind to create a Living Will in New Jersey.
Specific Instructions: Be clear about the types of medical treatments you do or do not want, such as life-sustaining measures.
Signature Requirements: You need to sign the document in the presence of two witnesses, who also need to sign it.
Revocation: You can change or revoke your Living Will at any time, as long as you are mentally competent.
Distribution: Share copies of your Living Will with your healthcare providers and family members to ensure everyone is informed of your wishes.
Review Regularly: Periodically review your Living Will to make sure it still reflects your current wishes and values.

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Instructions on How to Fill Out New Jersey Living Will

Filling out a Living Will form in New Jersey is an important step in ensuring that your healthcare preferences are respected in the event that you cannot communicate them yourself. This process involves making decisions about your medical care and documenting them clearly. Following these steps will help you complete the form accurately.

Begin by obtaining the New Jersey Living Will form. You can find it online or request a copy from a healthcare provider.
Read the form carefully. Familiarize yourself with the sections and the types of decisions you will need to make.
In the first section, provide your full name, address, and date of birth. This information identifies you as the person making the Living Will.
Next, indicate your preferences regarding life-sustaining treatment. There will be options to select from, so think about your values and wishes.
If you have specific instructions or preferences that are not covered in the options provided, write them in the designated area. Be clear and concise.
After completing the preferences section, sign and date the form. Your signature is crucial as it validates your intentions.
Consider having the form witnessed. New Jersey law requires that at least two witnesses sign the document to affirm that you are of sound mind and acting voluntarily.
Once the form is complete and witnessed, make copies. Keep the original in a safe place and provide copies to your healthcare provider and family members.