Thinking about creating a New Jersey living will? Living wills are quite important for people to express their end of life wishes. Therefore, these documents require caution while crafting them.
The best way to make a New Jersey living wll is to download the pre-crafted form from CocoSign. CocoSign provides a New Jersey living will form for completely free downloading. In order to know more about living will in New Jersey, keep reading below:
Don’t forget to add the following information under New Jersey living will form:
- Details of the declarant including name, phone number, address, date of birth, and other relevant information.
- Signature of the declarant.
- Signature of two witnesses or a notary public.
What Is a New Jersey Living Will?
A New Jersey living will is an important legal document through which a person can convey their end of life decisions in New Jersey. These decisions include the wishes of a person to stay in or out of life-sustaining medical processes in situations where they are incapacitated.
Though a New Jersey living will, a person is able to implement their preferences if they are ever in a vegetative state, such as a coma. States like these can make a person unable to directly tell what they want to be done and whether or not they want life support.
Therefore, people write a living will in advance to choose their preferences in these situations.
Get yourself the best medical treatments with New Jersey living will template.
Express end-of-life decisions today using a living will form. In New Jersey, you no longer need an attorney to create a living will. Download our legally binding New Jersey living will template for free, which will allow you to live your life with the dignity you deserve.
Why Should I Consider Writing a Living Will?
Writing a living will is of utmost importance for many people. A living will helps in saving the loved ones of a person from emotional pain.
For example, if a person has no chance of recovery but is put on life support, the loved ones of a person can find it difficult to pull out the life support. Through a living will, a person can take it upon themselves to make these decisions.
Additionally, there is also a minimum dignity with which people want to live their lives. If someone is put on life support or artificial nutrition, it can be seen as harming one’s dignity. A living will makes sure a person can live their life according to the dignity they desire.
How Are Living Wills Executed in New Jersey?
Any adult who is in a conscious state and competent enough to write a living will is allowed to execute a living will at any time. A living will is able to be executed only when it is signed by the declarant in the presence of two witnesses or a notary public. A living will signed in the presence of a lawyer is also effective.
It is also important to the witnesses to ascertain that the declarant is of sound mind while signing the will. In order for a living will to come into effect in New Jersey, a medical team should make sure that there is no option to extend the quality life of a person. This means that the person should be in a medically vegetative state with no recovery.
Get yourself the best medical treatments with New Jersey living will template.
Express end-of-life decisions today using a living will form. In New Jersey, you no longer need an attorney to create a living will. Download our legally binding New Jersey living will template for free, which will allow you to live your life with the dignity you deserve.
Endnotes
You do not need a lawyer to write a living will in New Jersey. All you require is the New Jersey living will form which CocoSign offers you for free. You can print this form and fill it out, or fill it online directly.
CocoSign also provides a range of other legally crafted document and agreement templates. If you want to create any legal document, all you require is to download the appropriate template from CocoSign.
DOCUMENT PREVIEW
New Jersey Living Will
Instruction Directive
I understand that as a competent adult I have the right to make decisions about my health care. There may come a time when I am unable, due to physical or mental incapacity, to make my own health care decisions. In these circumstances, those caring for me will need direction concerning my care and they will require information about my values and health care wishes. In order to provide the guidance and authority needed to make decisions on my behalf:
A) I, _________________________________, hereby declare and make known to my family, physician, and others, my instructions and wishes for my future health care. I direct that all health care decisions, including decisions to accept or refuse any treatment, service or procedure used to diagnose, treat or care for my physical or mental condition and decisions to provide, withhold or withdraw life-sustaining measures, be made in accordance with my wishes as expressed in this document. This instruction directive shall take effect in the event I become unable to make my own health care decisions, as determined by the physician who has primary responsibility for my care, and any necessary confirming determinations. I direct that this document become part of my permanent medical records.
Part One: Statement of My Wishes Concerning My Future Health Care
In Part One, you are asked to provide instructions concerning your future health care. This will require making important and perhaps difficult choices. Before completing your directive, you should discuss these matters with your doctor, family members or others who may become responsible for your care.
In Section B and C, you may state the circumstances in which various forms of medical treatment, including life-sustaining measures, should be provided, withheld or discontinued. If the options and choices below do not fully express your wishes, you should use Section D, and/or attach a statement to this document which would provide those responsible for your care with additional information you think would help them in making decisions about your medical treatment. Please familiarize yourself with all sections of Part One before completing your directive.
B) GENERAL INSTRUCTIONS: To inform those responsible for my care of my specific wishes, I make the following statement of personal views regarding my health care:
Initial ONE of the following two statements with which you agree:
1. _____ I direct that all medically appropriate measures be provided to sustain my life, regardless of my physical or mental condition
2. _____ There are circumstances in which I would not want my life to be prolonged by further medical treatment. In these circumstances, life-sustaining measures should not be initiated and if they have been, they should be discontinued. I recognize that this is likely to hasten my death. In the following, I specify the circumstances in which I would choose to forego life-sustaining measures.
If you have initialed statement 2 on page 1, please initial each of the statements (a, b, c) with which you agree:
a. ______ I realize that there may come a time when I am diagnosed as having an incurable and irreversible illness, disease, or condition. If this occurs, and my attending physician and at least one additional physician who has personally examined me determine that my condition is terminal, I direct that life-sustaining measures which would serve only to artificially prolong my dying be withheld or discontinued. I also direct that I be given all medically appropriate care necessary to make me comfortable and to relieve pain.
In the space provided, initial ONE of the following phrases with which you agree:
To me, terminal condition means that my physicians have determined that:
(1) ______ I will die within a few days
(2) ______ I will die within a few weeks
(3) ______ I have a life expectancy of approximately ______________ or less (enter 6 months, or 1 year)
b. ______ If there should come a time when I come permanently unconscious, and it is determined by my attending physician and at least one additional physician with appropriate expertise who has personally examined me, that I have totally and irreversibly lost consciousness and my capacity for interaction with other people and my surroundings, I direct that life-sustaining measures be withheld or discontinued. I understand that I will not experience pain or discomfort in this condition, and I direct that I be given all my medically appropriate care necessary to provide for my personal hygiene and dignity.
c. ______ I realize that there may come a time when I am diagnosed as having an incurable and irreversible illness, disease, or condition which may not be terminal. My condition may cause me to experience severe and progressive physical or mental deterioration and/or a permanent loss of capacities and faculties I value highly. If, in the course of my medical care, the burdens of continued life with treatment become greater than the benefits I experience, I direct that life-sustaining measures be withheld or discontinued. I also direct that I be given all medically appropriate care necessary to make me comfortable and to relieve pain.
(Paragraph c. covers a wide range of possible situations in which you may have experienced partial or complete loss of certain mental and physical capacities you value highly. If you wish, in the space provided below you may specify in more detail the conditions in which you would choose to forego life-sustaining measures. You might include a description of the faculties or capacities, which, if irretrievably lost would lead you to accept death rather than continue living. You may want to express any special concerns you have about particular medical conditions or treatments, or any other considerations which would provide further guidance to those who may become responsible for your care. If necessary, you may attach a separate statement to this document or use Section D to provide additional instructions.) Examples of conditions which I find unacceptable are:
____________________________________________________________________________________________________________________________________________________________________________________
C) SPECIFIC INSTRUCTIONS: Artificially Provided Fluids and Nutrition; Cardiopulmonary Resuscitation (CPR). In Section B, you provided general instructions regarding life-sustaining measures. Here you are asked to give specific instructions regarding two types of life-sustaining measures-artificially provided fluids and nutrition and cardiopulmonary resuscitation.
In the space provided, initial ONE of the phrases with which you agree:
1. In the circumstances I initialed in Section B, I also direct that artificially provided fluids and nutrition, such as by feeding tube or intravenous infusion,
a. ______ be withheld or withdrawn and that I be allowed to die
b. ______ be provided to the extent medically appropriate]
2. In the circumstances I initialed in Section B, if I should suffer a cardiac arrest, I also direct that cardiopulmonary resuscitation (CPR)
a. ______ not be provided and that I be allowed to die
b. ______ be provided to preserve my life, unless medically inappropriate or futile
3. If neither of the above statements adequately expresses your wishes concerning artificially provided fluids and nutrition or CPR, please explain your wishes below.
__________________________________________________________________ __________________________________________________________________
__________________________________________________________________
D) ADDITIONAL INSTRUCTIONS: (You should provide any additional information about your health care preferences which is important to you and which may help those concerned with your care to implement your wishes. You may wish to direct your family members or your health care providers to consult with others, or you may wish to direct that your care be provided by a particular physician, hospital, nursing home, or at home. If you are or believe you may become pregnant, you may wish to state specific instructions. If you need more space than is provided here you may attach an additional statement to this directive.)
________________________________________________________________________________________________________________________________________________________________________________________________________________________
E) BRAIN DEATH: (The State of New Jersey recognizes the irreversible cessation of all functions of the entire brain, including the brain stem (also known as whole brain death), as a legal standard for the declaration of death. However, individuals who cannot accept this standard because of their personal religious beliefs may request that it not be applied in determining their death.)
Initial the following statement only if it applies to you:
______ To declare my death on the basis of the whole brain death standard would violate my personal religious beliefs. I therefore wish my death to be declared solely on the basis of the traditional criteria of irreversible cessation of cardiopulmonary (heartbeat and breathing) function.
F) AFTER DEATH - ANATOMICAL GIFTS: (It is now possible to transplant human organs and tissue in order to save and improve the lives of others. Organs, tissues and other body parts are also used for therapy, medical research and education. This section allows you to indicate your desire to make an anatomical gift and if so, to provide instructions for any limitations or special uses.)
Initial the statements which express your wishes:
1. ______ I wish to make the following anatomical gift to take effect upon my death:
A. ______ any needed organs or body parts
B. ______ only the following organs or parts _______________________
____________________________________________________________
____________________________________________________________
for the purposes of transplantation, therapy, medical research or education, or
C. ______ my body for anatomical study, if needed.
D. ______ special limitations, if any: _____________________________
____________________________________________________________
____________________________________________________________
If you wish to provide additional instructions, such as indicating your preference that your organs be given to a specific person or institution, or be used for a specific purpose, please do so in the space provided below.
________________________________________________________________________________________________________________________________________________ ________________________________________________________________________
2. ______ I do not wish to make an anatomical gift upon my death.
Part Two: Signature and Witnesses
G) COPIES: The original or a copy of this document has been given to the following people (NOTE: It is important that you provide a family member, friend or your physician with a copy of your directive.):
1. Name: ___________________________________ Telephone: ___________________
Address: ________________________________________________________________
City, State, Zip Code: ______________________________________________________
2. Name: ___________________________________ Telephone: ___________________
Address: ________________________________________________________________
City, State of Residence: ___________________________________________________
H) SIGNATURE: By writing this advance directive, I inform those who may become entrusted with my health care of my wishes and intend to ease the burdens of decision making which this responsibility may impose. I understand the purpose and effect of this document and sign it knowingly, voluntarily and after careful deliberation.
Signed this __________ day of _________________, 20_____.
Name: __________________________________________________________________
Address: ________________________________________________________________
City, State, Zip Code: ______________________________________________________
