The New Jersey Living Will provides a conventional prearranged confirmation regarding an individual’s preferences for medical treatment. The summary of wishes is prepared as a safeguard to establish a course of action should the principal party become incapacitated and no longer able to communicate their desires. Once the declarant has made selections, the paperwork can be signed and filed with a primary physician for future reference. It is recommended to make additional copies of the contract to be retained by the principal, an attorney, and/or a trusted family member.

Other Versions

Halachic Version

Download: Adobe PDF
Instructions: Adobe PDF

 

 

Additional Resources

• Cooper University Health Care – Advance Directives and Living Wills
• Middlesex County Govt. Website – What is a Living Will for Health Care?
• Jefferson Health NJ – Living Will
• 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

Related Forms (4)

• Advance Directive Wallet Card
• Durable (Financial) Power of Attorney Form
• POLST Form
• Psychiatric Advance Directive

Advance Directive Wallet Card

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