Introduction to Your New Jersey Advance Directive
This packet contains a legal document, a New Jersey Advance Directive, that protects your right to refuse medical treatment you do not want, or to request treatment you do want, in the event you lose the ability to make decisions yourself. You may fill out Part I, Part II, or both, depending on your advance planning needs. You must complete Part III.
Part I is the New Jersey Proxy Declaration. This part lets you name an adult, called your health care representative, or representative, to make decisions about your health care—including decisions about life-sustaining treatments—if you can no longer speak for yourself.
Part II is a New Jersey Instruction Declaration, which is your state’s living will. Part II lets you state your wishes regarding health care decisions in the event that you can no longer make your own.
Part III contains the signature and witnessing provisions so that your document will be effective.
Your advance directive goes into effect when your doctor and one other doctor determine in writing that you are no longer able to understand and appreciate the nature and consequences of your health care decisions and you are no longer able to reach an informed health care decision.
This form does not expressly address mental illness. If you would like to make advance care plans regarding mental illness, you should talk to your physician and an attorney about a durable power of attorney tailored to your needs.
Note: These documents will be legally binding only if the person completing them is a competent adult who is at least 18 years of age.