Combined Advance Directive for Health Care, New Jersey |
$25.00 |
| This is a form of the New Jersey Combined Advance Directive for Health Care. It allows you to appoint an agent for health care decisions and give instructions for your health care should you become unable to make health care decisions for yourself. The form provides written instructions for medical treatment preferences.
Format: |
Microsoft WordNEW
COMBINED ADVANCE DIRECTIVE FOR HEALTH CARE
(Combined Proxy and 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 and they will turn to someone who knows my values and health care wishes. By writing this durable power of attorney for health care, I appoint a health care representative with the legal authority to make health care decisions on my behalf and to consult with my physician and others. I direct that this document become part of my permanent medical records.
In completing Part One of this directive, you will designate an individual you trust to act as your legally recognized health care representative to make health care decisions for you in the event that you are unable to make decisions for yourself.
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This is only a partial view of this document. Combined Advance Directive for Health Care, New Jersey is just $25.00 and can be immediately downloaded after purchase. |
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