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New Jersey Medical Power of Attorney Form

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Updated April 22, 2025

A New Jersey medical power of attorney allows a principal to select an agent to carry out their health care wishes if the principal cannot do so on their own. It is common, for example, for spouses to grant each other medical power of attorney. Therefore, if one becomes incapacitated, the other can speak on their behalf.

“Advance Directive for Health Care” Definition

“Advance directive for health care” means a writing executed to grant authority to a health care representative on behalf of the patient if they lack decision-making capacity.[2][3]

Is There a Statutory Form?

No, New Jersey does not have a statutory form, but the New Jersey Department of Health offers an official form.

Sample

Download: PDF

Sources

  1. § 26:2H-56
  2. § 26:2H-55
  3. § 26:2H-61(a)