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New Jersey Advance Directive Form

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Updated August 12, 2025

A New Jersey advance directive is a document that lets a person outline their preferred end-of-life treatment options and select an agent to speak for them if they cannot do so for themselves. A directive is a combination of a power of attorney and a living will that outlines a person's health care goals in the chance if they become incapacitated.

Versions (7)

AARP

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Atlantic Health System

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Catholic Church

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Hackensack UMC

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Psychiatric Advance Directive

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Spanish (Español) Version

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Virtua Health System

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Registration

New Jersey does not have an advance directive registry. The declarant should keep copies of their directive in their medical records and with their doctor and family members.

Revocation

The declarant can revoke an advance directive by giving written or oral notice to their health care representative, by executing a subsequent directive, or by any other act that demonstrates their intent to revoke the advance directive.[2]

State Definition

“Advance directive for health care” or “advance directive” means a writing executed in accordance with the requirements of the New Jersey Advance Directives for Health Care Act. An “advance directive” may include a proxy directive or an instruction directive, or both.[3]

Statutory Form

There is not a statutory form that New Jersey requires declarants to use when executing an advance directive.

Sample

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Sources

  1. NJ Rev Stat § 26:2H-56
  2. NJ Rev Stat § 26:2H-57(b)
  3. NJ Rev Stat § 26:2H-55