Homepage Fillable Living Will Form Attorney-Approved Living Will Document for the State of New Jersey
Table of Contents

In New Jersey, the Living Will form serves as a crucial tool for individuals wishing to express their medical preferences in the event they become incapacitated and unable to communicate their wishes. This document allows individuals to outline specific treatments they do or do not want, particularly concerning life-sustaining measures. It addresses scenarios such as terminal illness or persistent vegetative states, ensuring that healthcare providers and loved ones understand the individual's desires. The Living Will form is not just a legal document; it is a reflection of personal values and beliefs regarding end-of-life care. By completing this form, individuals can alleviate the burden on family members during difficult times, providing clarity and guidance in moments of crisis. Furthermore, the form must be signed and witnessed to be valid, and it is advisable to review and update it regularly to ensure it aligns with current wishes and medical advancements. Understanding the significance of this form is essential for anyone considering their healthcare options and rights in New Jersey.

Dos and Don'ts

When filling out the New Jersey Living Will form, it’s important to approach the process with care. Here are some things you should and shouldn’t do:

  • Do: Clearly state your wishes regarding medical treatment in case you become unable to communicate.
  • Do: Discuss your decisions with your family and loved ones to ensure they understand your preferences.
  • Do: Review the form carefully to ensure all sections are completed accurately.
  • Do: Sign the document in the presence of witnesses as required by New Jersey law.
  • Don’t: Leave any sections blank, as this may lead to confusion about your wishes.
  • Don’t: Use vague language; be as specific as possible about your healthcare preferences.
  • Don’t: Forget to date the form; an undated form may not be considered valid.
  • Don’t: Ignore the need for periodic reviews; your preferences may change over time.

New Jersey Living Will Sample

New Jersey Living Will Template

This Living Will is designed to provide instructions regarding your medical treatment preferences in the event that you become unable to communicate these wishes. It is governed by the laws of the State of New Jersey.

Instructions: Please fill in the blanks with your personal information. Ensure that you sign and date the document after completing it. Consider discussing your decisions with your healthcare provider and loved ones.

Personal Information:

  • Name: ________________________
  • Address: ________________________
  • City, State, Zip: ________________________
  • Date of Birth: ________________________

Living Will Declaration: I, the undersigned, being of sound mind, make this declaration while I am still capable of understanding my medical care choices. If I become unable to make my own medical decisions and my condition is terminal or I am in a persistent vegetative state, I wish to make my preferences known regarding life-sustaining treatment.

Living Will Preferences:

  1. I do not wish to receive any life-sustaining treatments that would only prolong my dying process.
  2. If I am unable to breathe without assistance, I choose to have:
    • □ Mechanical ventilation
    • □ No mechanical ventilation
  3. If my heart stops, I choose to have:
    • □ CPR (Cardiopulmonary resuscitation)
    • □ Do not resuscitate (DNR)
  4. If I am unable to eat or drink, I choose to have:
    • □ Artificial nutrition and hydration
    • □ No artificial nutrition and hydration

Additional Instructions:

Any additional preferences or instructions can be provided here: ______________________________________.

Signature: ________________________

Date: ________________________

It is recommended to share copies of your Living Will with family members, your doctor, and any healthcare facility where you may receive treatment.

Listed Questions and Answers

  1. What is a Living Will in New Jersey?

    A Living Will is a legal document that allows individuals to express their wishes regarding medical treatment in the event they become unable to communicate those wishes themselves. In New Jersey, this document specifically outlines preferences for life-sustaining treatment and other healthcare decisions.

  2. Who should consider creating a Living Will?

    Any adult can benefit from having a Living Will. It is especially important for individuals with serious health conditions, those undergoing major surgeries, or anyone who wants to ensure their healthcare wishes are respected. Creating a Living Will can provide peace of mind for both the individual and their loved ones.

  3. What should be included in a Living Will?

    A Living Will typically includes specific instructions regarding medical treatments such as resuscitation, mechanical ventilation, and artificial nutrition and hydration. It should clearly state the conditions under which these treatments should or should not be administered. Additionally, individuals may wish to include preferences regarding pain management and end-of-life care.

  4. How is a Living Will created in New Jersey?

    In New Jersey, creating a Living Will involves completing a form that complies with state laws. While individuals can draft their own Living Will, it is often advisable to use a standardized form to ensure all legal requirements are met. Once completed, the document should be signed and dated in the presence of two witnesses, who must also sign the document.

  5. Can a Living Will be changed or revoked?

    Yes, a Living Will can be changed or revoked at any time as long as the individual is mentally competent. To revoke a Living Will, a person can simply destroy the document or create a new one that explicitly states the revocation of previous directives. It is important to inform healthcare providers and family members of any changes made.

  6. What happens if I do not have a Living Will?

    If an individual does not have a Living Will and becomes unable to communicate their wishes, healthcare providers may rely on family members to make decisions on their behalf. This can lead to confusion and conflict among family members, as they may have differing opinions on what the individual would have wanted. Without clear directives, there is a risk that medical treatments may not align with the individual's preferences.

  7. Is a Living Will the same as a Power of Attorney?

    No, a Living Will and a Power of Attorney serve different purposes. A Living Will focuses specifically on medical treatment preferences, while a Power of Attorney allows an individual to appoint someone else to make financial and legal decisions on their behalf. It is advisable to have both documents to ensure comprehensive planning for both healthcare and other personal matters.

PDF Characteristics

Fact Name Description
Definition A New Jersey Living Will is a legal document that outlines an individual's preferences regarding medical treatment in situations where they cannot communicate their wishes.
Governing Law The New Jersey Living Will is governed by the New Jersey Advance Directives for Health Care Act, specifically N.J.S.A. 26:2H-53 et seq.
Eligibility Any adult who is of sound mind can create a Living Will in New Jersey. This includes individuals aged 18 and older.
Signature Requirement The document must be signed by the individual creating the Living Will and witnessed by two adults who are not related to the individual or beneficiaries of their estate.
Revocation A Living Will can be revoked at any time by the individual, either verbally or in writing, as long as they are competent to do so.
Healthcare Proxy While a Living Will specifies treatment preferences, it does not appoint someone to make decisions on behalf of the individual. For that, a separate healthcare proxy document is needed.
Importance This document is crucial for ensuring that a person's healthcare wishes are respected, especially in critical medical situations where they are unable to express their desires.