Form · Advance care · NJ
New Jersey advance directive form
The state's own form, from New Jersey Department of Health (form by the New Jersey Commission on Legal and Ethical Problems in the Delivery of Health Care). Rivvi links it; we do not host or change it. Not legal advice.
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The state form
- Form
- Instruction Directive
- Publisher
- New Jersey Department of Health (form by the New Jersey Commission on Legal and Ethical Problems in the Delivery of Health Care)
- Health care agent form
- Proxy Directive (Durable Power of Attorney for Health Care) - Designation of Health Care Representative
- Signing (per the source)
- Form includes signature blocks for two witnesses, each 18 or older and not named as health care representative
- Link checked
- October 23, 2026
Related pages
Questions
Where do I get New Jersey's advance directive form?
New Jersey Department of Health (form by the New Jersey Commission on Legal and Ethical Problems in the Delivery of Health Care) publishes it: Instruction Directive. The link on this page goes to the state's copy (checked October 23, 2026).
Does New Jersey have a medical power of attorney form?
New Jersey publishes a separate health care agent form: Proxy Directive (Durable Power of Attorney for Health Care) - Designation of Health Care Representative.
Does a New Jersey advance directive need witnesses or a notary?
Per the state source: Form includes signature blocks for two witnesses, each 18 or older and not named as health care representative. Read the form's own signing instructions before you sign.