New Jersey Advance Directive for Health Care Forms

Set out your wishes for end-of-life treatment and appoint someone as your health care representative with this Advance Directive for Health Care Package for New Jersey residents.

• This package of forms contains the following:
  • information and instructions to help you prepare and complete your advance directive,
  • Advance Health Care Directive which is made up of:
    • Part I - Proxy Directive (Durable Power of Attorney for Health Care), where you can designate someone you trust to act as your health care representative to make medical decisions for you when you are unable to do so,
    • Part II - Instruction Directive, where you can give directions to your doctor and your family about what types of life-prolonging treatments you want or do not want.
• Making an Advance Directive can help to ensure that your family and your doctor know what your wishes if you should become unable to communicate or make your own decisions, and that there is someone with the authority to make decisions for you.
• The forms are provided in MS Word format and can be used by more than one person by filling in the appropriate information.
• Intended to be used only in the State of New Jersey.