Valid  Living Will Template for New Jersey

Valid Living Will Template for New Jersey

The New Jersey Living Will form, officially known as an Advance Directive, is a legal document empowering individuals to outline their preferences regarding medical treatment in the event they are unable to communicate those wishes themselves. It serves as a voice for patients when they can no longer speak due to incapacitating conditions, ensuring their treatment aligns with their values and desires. To make sure your healthcare preferences are respected, consider filling out this essential document by clicking the button below.

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Planning for the future includes considering how you want to be cared for in case you cannot make medical decisions for yourself. New Jersey provides residents with a way to declare these preferences through a Living Will, also known as an Advance Directive for Health Care. This document allows individuals to outline their wishes regarding life-prolonging treatments, organ donation, and end-of-life care. The form gives people the power to appoint a health care proxy, who is authorized to make medical decisions on their behalf if they are unable to do so themselves. The importance of this document cannot be overstated, as it not only ensures that your medical treatments align with your wishes but also relieves your loved ones of the burden of making these difficult decisions during stressful times. With clear instructions provided in the Living Will, both health care providers and family members are guided in making informed decisions that respect the individual’s values and desires, making it a crucial step in personal health care planning.

Preview - New Jersey Living Will Form

New Jersey Living Will

This Living Will is designed in accordance with the New Jersey Advance Directives for Health Care Act to express the wishes of the undersigned regarding medical treatment in the event they are unable to communicate their decisions.

Part 1: Information of the Declarant

Full Name: ___________________________________________________

Date of Birth: _______________________________________________

Address: ____________________________________________________

City: _______________________ State: NJ Zip Code: ____________

Phone Number: ______________________________________________

Part 2: Declaration

I, ___________________________, being of sound mind, willfully, and voluntarily make known my desire that my dying shall not be artificially prolonged under the circumstances set forth below, and I declare:

Part 3: Life-Sustaining Treatment Preferences

In the situation where I am unable to communicate my preferences myself, and where my attending physician and another medical professional have both determined that:

  1. I am in a permanent vegetative state, or
  2. I have a terminal condition from which there is no reasonable expectation of recovery,

I direct the following regarding the initiation, continuation, withholding, or withdrawal of life-sustaining treatment:

  • If life-sustaining treatment would only serve to artificially prolong the dying process, I elect to withhold or withdraw such treatment.
  • If I am unable to eat or drink by myself, I wish to receive artificially provided nutrition and hydration, unless the burden outweighs the benefits: Yes____ No____
  • Other specific instructions: ___________________________________________

Part 4: Pain Relief

I direct that treatment to alleviate pain or discomfort be provided at all times, even if it hastens my death.

Part 5: Additional Instructions

You may include any additional instructions or express any preferences below:

_______________________________________________________________________

_______________________________________________________________________

Part 6: Designation of Health Care Representative

I designate the following individual as my health care representative to make health care decisions for me if I am unable to make such decisions for myself:

Name: _____________________________________________________

Relationship: _______________________________________________

Address: ___________________________________________________

City: ______________________ State: NJ Zip Code: ___________

Phone Number: _____________________________________________

Part 7: Signatures

This document is signed in accordance with the New Jersey Advance Directives for Health Care Act. By signing below, I affirm that I am fully informed of the nature and purpose of this document and I understand the consequences of this document.

Date: ________________________

Signature of Declarant: ______________________________________

Witness:

Name: ____________________________________________________

Date: ________________________ Signature: _________________________

Second Witness (optional):

Name: __________________________________________________________________

Date: ________________________ Signature: _________________________

Document 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 et seq.
Purpose To document an individual's health care preferences and appoint a health care representative in the event they are unable to make decisions for themselves.
Primary Components 1) Health Care Representative Appointment
2) Living Will/Health Care Instructions
Validity Requirements Must be signed by the declarant and either witnessed by two adults or notarized.
Revocation Can be revoked at any time by the declarant, without regard to their mental state, through a signed and dated writing, by physically destroying the document, or by orally informing a physician.
Where to File Not required to be filed with any state agency; however, it is advised to provide copies to the health care representative, primary doctor, and include it in medical records.

New Jersey Living Will: Usage Steps

When you're thinking about the future, it's essential to consider how you want medical decisions to be handled if you cannot make them yourself. A Living Will in New Jersey allows you to outline your preferences for medical treatment. By completing this form, you can ensure your healthcare wishes are known and can be followed by your loved ones and healthcare providers. Let's walk through the steps necessary to fill out the New Jersey Living Will form effectively, ensuring your peace of mind and providing clear guidance to those who may need to make decisions on your behalf.

  1. Start by gathering your personal information, including your full legal name, address, and date of birth. This will be used to identify you throughout the document.
  2. Decide on your healthcare representative. This is the person you trust to make healthcare decisions for you if you're unable to do so. Have their full name, relationship to you, and contact information ready.
  3. Think about your healthcare preferences, including treatments you would or wouldn't want in certain situations. Consider life-support measures, pain management, and any other preferences you have about your healthcare.
  4. Fill out the section that allows you to specify your wishes concerning the use of life-sustaining treatments. Be as specific as possible about conditions under which you would want to refuse or accept treatments like artificial ventilation, feeding tubes, or CPR.
  5. If you have strong feelings about donating your organs or tissues after you pass away, make sure to complete the section regarding organ and tissue donation. Indicate clearly if you consent to donation, and if so, whether it's for transplant, research, or both.
  6. Sign and date the Living Will in the presence of two witnesses. Ensure these witnesses are not your healthcare representative or potential heirs to avoid any conflicts of interest. Their signatures will validate your Living Will.
  7. Consider having the document notarized. Although New Jersey does not require notarization, it can add an extra layer of legal protection and authenticity to your Living Will.
  8. After completing the form, make several copies. Keep the original in a safe but accessible place, and provide copies to your healthcare representative, family members, and your doctor to make sure your wishes are well-known and easily accessible.

Remember, it's important to review and potentially update your Living Will periodically, especially after significant life events such as marriage, divorce, the birth of a child, or a change in health status. This ensures that your Living Will always reflects your current wishes and circumstances.

Listed Questions and Answers

  1. 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 outlines a person's wishes regarding medical treatment in the event they are unable to communicate those decisions themselves. This document can specify which life-sustaining treatments one would or would not want to receive if they are facing a terminal condition or are permanently unconscious.

  2. Who should have a Living Will in New Jersey?

    Any adult in New Jersey who wants to have control over their medical treatment should create a Living Will. It's particularly important for those with strong feelings about certain medical treatments or those who have been diagnosed with a chronic or terminal illness. However, considering the unforeseeable nature of life, it's advisable for all adults to have one.

  3. How do you create a Living Will in New Jersey?

    To create a Living Will in New Jersey, you must complete a document that complies with New Jersey law. This involves:

    • Clearly stating your healthcare preferences in the event of a terminal illness or irreversible condition.
    • Appointing a healthcare representative if you wish, to make decisions when you can't.
    • Signing the document in front of two witnesses or a notary public, who also need to sign the document.

  4. Can a Living Will be revoked or changed?

    Yes, a Living Will in New Jersey can be revoked or changed at any time by the person who created it, as long as they are still mentally capable of making such decisions. This can be done by creating a new Living Will or by physically destroying the original document. Communicating your wishes verbally to your healthcare provider or family members can also revoke the document, but it's always best to have changes documented in writing.

  5. What is the difference between a Living Will and a Durable Power of Attorney for Health Care?

    A Living Will in New Jersey specifically addresses the types of medical treatments you would like to receive or avoid if you're unable to make decisions for yourself. A Durable Power of Attorney for Health Care, on the other hand, designates someone to make healthcare decisions on your behalf. While a Living Will provides specific instructions, a Durable Power of Attorney for Health Care gives decision-making power to another person.

  6. Does a New Jersey Living Will need to be filed with a government office?

    No, a New Jersey Living Will does not need to be filed with any government office. It should be kept in a safe but accessible place. Copies should be given to your healthcare representative (if you have appointed one), family members, and your healthcare providers to ensure your wishes are followed.

  7. What should be done if a person's medical wishes change after creating a Living Will?

    If a person's medical wishes change after creating a Living Will in New Jersey, it's crucial to update the document as soon as possible. This involves drafting a new Living Will to reflect the changed decisions and going through the signing and witnessing process again. It's also important to inform the healthcare representative, family members, and healthcare providers of the updated wishes.

Common mistakes

Filling out a living will is a thoughtful step towards making one's healthcare preferences known should they become unable to communicate in the future. In New Jersey, as in other places, certain common mistakes can complicate what should be a straightforward process. Here's a look at seven errors frequently made on the New Jersey Living Will form:

  1. Not specifying preferences clearly: Ambiguity in a living will can lead to confusion and complications. It’s vital to be clear and precise about treatment preferences and end-of-life care to ensure that your wishes are understood and followed.

  2. Forgetting to update the document: Life circumstances and health preferences change. Not regularly reviewing and updating the living will means it might not reflect your current wishes, potentially leading to unwanted medical interventions.

  3. Failing to discuss wishes with loved ones: It's critical to talk about your healthcare preferences with family members or close friends. If they are unaware of your wishes, they might make decisions that you wouldn’t agree with.

  4. Not appointing a healthcare proxy wisely: The person you choose to act on your behalf (a healthcare proxy) should be trustworthy, willing, and able to make potentially tough decisions according to your preferences. Choosing someone not fit for this responsibility can lead to problems.

  5. Omitting the signature and date: A living will must be signed and dated to be legally binding. Overlooking these simple steps can invalidate the document.

  6. Not having the document witnessed or notarized correctly: Depending on state laws, a living will may need to be notarized and/or witnessed. In New Jersey, not adhering to these requirements can make the document invalid.

  7. Failure to distribute copies: A living will is of little use if nobody knows it exists or where to find it. Failing to provide copies to your healthcare proxy, family members, and medical providers means your wishes might not be known or followed.

Avoiding these mistakes can greatly increase the likelihood that your healthcare preferences will be respected and followed. Careful consideration and thorough planning are key when completing a New Jersey Living Will form.

Documents used along the form

When preparing a Living Will in New Jersey, individuals are often encouraged to consider additional forms and documents that can complement their end-of-life wishes and ensure a comprehensive approach to their healthcare planning. These documents work in tandem with a Living Will to provide a clear, legally sound directive regarding one's health care preferences and estate management. Below, we explore six key documents that are commonly used alongside a New Jersey Living Will.

  • Durable Power of Attorney for Health Care: This legal document allows a person to appoint someone else to make health care decisions on their behalf in the event they become incapacitated. This role is crucial for situations not covered by a Living Will.
  • Medical Orders for Life-Sustaining Treatment (MOLST): A MOLST form is a doctor's order that outlines a patient's preferences regarding life-sustaining treatments. It is particularly useful in emergency situations or during care transitions between settings.
  • Durable Financial Power of Attorney: This form designates an individual to manage the financial affairs of the person creating the document. It's essential for ensuring that financial matters are handled according to the individual's wishes should they become unable to do so themselves.
  • Last Will and Testament: Although it addresses post-death matters, a Last Will and Testament is crucial for outlining how a person's assets and property should be distributed upon their death. It complements a Living Will by covering aspects outside of healthcare decisions.
  • Privacy Release Forms (HIPAA Waivers): These forms authorize the disclosure of an individual's health information to designated persons. They are vital for ensuring that family members or appointed agents have access to necessary medical information.
  • Organ and Tissue Donation Registration Form: This document records an individual's consent (or refusal) to organ and tissue donation upon death. It ensures that the person’s wishes regarding donation are respected and can readily be acted upon.

In summary, while a Living Will is a critical component of healthcare planning in New Jersey, it is most effective when paired with additional legal documents that collectively address a broader range of scenarios and decisions. These complementary forms ensure that an individual's health care preferences, financial matters, and estate plans are well-managed and honored, providing peace of mind to both the individual and their loved ones.

Similar forms

  • Health Care Proxy: Similar to a Living Will, a Health Care Proxy allows someone to make medical decisions on another's behalf. However, the focus here is on appointing a specific person, the proxy, to make decisions, as opposed to outlining specific medical wishes. Both documents work towards ensuring that medical treatment aligns with the individual's preferences.

  • Durable Power of Attorney for Health Care: This document, like a Living Will, is designed to guide decisions related to one's health care when they're unable to make those decisions themselves. It differs slightly as it empowers another individual to make wide-ranging health care decisions, not just those concerning life-sustaining treatment.

  • Advance Directive: An Advance Directive is a broader term that encompasses both Living Wills and Health Care Proxies. It outlines a person's wishes regarding medical treatment and appoints a decision-maker in case they become incapacitated. This is essentially a package that can include elements of a Living Will but has a broader application.

  • Do Not Resuscitate (DNR) Order: A DNR order is a medical order that prevents health care providers from performing CPR if a patient stops breathing or their heart stops. Like a Living Will, it is a directive for specific medical treatment preferences. However, while a Living Will can address a wide range of medical treatments and conditions, a DNR specifically relates to the non-use of CPR.

  • Organ Donor Card: An Organ Donor Card is similar to a Living Will insofar as it conveys specific instructions regarding one's body after death, specifically the donation of organs and tissues. While a Living Will focuses on treatment preferences during life's end, an Organ Donor Card provides directives that take effect posthumously.

  • Last Will and Testament: Both a Living Will and a Last Will and Testament are forward-thinking documents that dictate personal wishes; the former regards medical decisions while the latter deals with the distribution of assets and care of dependents after one's death. While their focuses are distinct, both ensure an individual's final wishes are respected.

  • Financial Power of Attorney: This legal tool authorizes someone else to handle your financial affairs. Although it deals with finances rather than health care decisions, like a Living Will, it is activated by the principal's incapacity. Both documents plan ahead for situations where the individual is unable to make decisions for themselves.

  • Five Wishes Document: The Five Wishes document goes beyond traditional medical directives by addressing personal, spiritual, and emotional wishes in addition to medical and after-death wishes. Like a Living Will, it guides health care preferences under incapacity but is more comprehensive in scope, covering aspects of comfort care, the desires for the type of treatment, and how the individual wants to be remembered.

  • Physician Orders for Life-Sustaining Treatment (POLST): A POLST form is similar to a Living Will as it details the types of medical treatment a person wants towards the end of their life. Recommended for seriously ill or frail individuals, the POLST complements a Living Will by converting one's treatment preferences into actionable medical orders.

  • Estate Plan: An Estate Plan is a comprehensive approach to end-of-life planning that can include a Living Will among other documents. It often covers the distribution of assets, care for minors or dependents, funeral arrangements, and directives for health care. While broader in scope, an Estate Plan shares the Living Will's goal of ensuring an individual's wishes are carried out.

Dos and Don'ts

Filling out a New Jersey Living Will is an essential step in planning for your future healthcare preferences. It communicates your wishes regarding medical treatment if you become unable to make decisions for yourself. To ensure your Living Will is effective and reflects your intentions accurately, here are key dos and don'ts to follow:

Do:
  • Thoroughly review all sections of the form before starting. Understanding the full scope of decisions you may need to make is crucial.

  • Consult with a healthcare professional if you have questions about medical terms or treatments mentioned in the document.

  • Discuss your wishes with family members or friends who might be affected by your decisions. It’s important they understand your preferences.

  • Be specific about your healthcare preferences, including treatments you would or wouldn't want under certain conditions.

  • Regularly review and update your Living Will, especially after major life changes such as marriage, divorce, or a significant shift in your health condition.

Don't:
  • Rush through the form without giving thorough consideration to each decision you're making. Your future healthcare depends on the clarity of this document.

  • Assume family members will make decisions accurately in alignment with your wishes without written guidance. Misunderstandings can easily occur.

  • Forget to sign and date the document in the presence of the required witnesses or a notary public, as this step is necessary for your Living Will to be legally valid.

  • Omit discussing your Living Will with your primary care physician or healthcare proxy to ensure they are aware of and understand your healthcare preferences.

  • Leave blanks in areas that require your decision. If a section does not apply, indicate this clearly to avoid any confusion or misinterpretation.

Properly preparing your New Jersey Living Will is an act of consideration for both yourself and your loved ones. Follow these guidelines carefully to make sure your healthcare wishes are clearly understood and can be followed accurately.

Misconceptions

People often have misunderstandings about the New Jersey Living Will form. Clearing up these misconceptions can help individuals make informed decisions about their health care planning.

  • A Living Will is only for the elderly. This is not true. Adults of all ages can benefit from having a Living Will. It allows any adult to outline their health care preferences in the event they are unable to communicate their decisions due to a serious health condition.

  • You need a lawyer to create a Living Will. While legal advice can be helpful in understanding the implications of a Living Will, in New Jersey, you do not need a lawyer to create one. Forms are available that allow you to specify your wishes without the need for legal representation, although it's important to ensure these forms are correctly filled out and witnessed.

  • A Living Will and a Last Will and Testament are the same. These documents serve different purposes. A Living Will dictates your wishes regarding medical treatment if you are incapacitated, whereas a Last Will and Testament deals with the distribution of your assets after your death.

  • If I change my mind, I can't modify my Living Will. This is incorrect. You can update or revoke your Living Will at any time as long as you are mentally capable of making these decisions. It's advisable to review your Living Will periodically to ensure that it still reflects your current wishes.

  • My family can override my Living Will. In New Jersey, a Living Will is legally binding. Health care providers and your family are obligated to follow your wishes as outlined. Your family does not have the authority to override your decisions detailed in your Living Will without a court order.

  • Having a Living Will means I won't receive any medical treatment. This is a misunderstanding. A Living Will allows you to state which treatments you do or do not want in specific situations. This can include requesting all available treatments in some cases or refusing treatments that would only prolong the dying process in others.

Key takeaways

When considering the preparation of a Living Will in New Jersey, individuals are taking a proactive step in managing their healthcare preferences in circumstances where they might not be able to communicate their wishes. The following key takeaways offer guidance on filling out and utilizing the New Jersey Living Will form:

  1. Understanding the purpose: The Living Will serves as a legal document that records your healthcare preferences, including the acceptance or refusal of medical treatment, in the event that you are unable to make decisions for yourself.
  2. Eligibility: Any competent individual over the age of 18 can create a Living Will, as long as they are able to understand the nature and consequences of their healthcare decisions.
  3. Choosing a healthcare representative: It is crucial to appoint a trustworthy healthcare representative who will ensure that your medical care preferences are respected and executed.
  4. Specificity is key: Be as specific as possible in detailing your healthcare preferences in the Living Will to prevent any ambiguity that could lead to confusion or conflict among healthcare providers or family members.
  5. Legally binding: Once duly signed and witnessed or notarized, the Living Will becomes a legally binding document in New Jersey. It must be respected by healthcare providers and family members.
  6. Witness requirements: New Jersey law requires that your Living Will signature be witnessed by two individuals or notarized to ensure its validity.
  7. Accessibility: Make sure copies of your Living Will are easily accessible. Provide a copy to your healthcare representative, family members, and your primary care physician.
  8. Review and update: Life changes such as marriage, divorce, the birth of a child, or a significant change in health condition should prompt a review and possible update of your Living Will to reflect your current wishes.
  9. Revocation: You have the right to revoke or change your Living Will at any time, as long as you are competent to do so. This can be done by creating a new document or physically destroying the existing one.
  10. Legal advice: Consider seeking legal advice when drafting your Living Will. A lawyer can help ensure that your document is comprehensive and complies with New Jersey laws, providing you with peace of mind.

Creating a Living Will is a profoundly personal decision that requires careful thought and planning. By addressing these key points, New Jersey residents can ensure that their healthcare preferences are clearly articulated and respected, providing comfort and clarity for themselves and their loved ones during difficult times.

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