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Get Guidelines For Completing The New Jersey Advance Directive ... - Virtua
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How to fill out the GUIDELINES FOR COMPLETING THE NEW JERSEY ADVANCE DIRECTIVE ... - Virtua online
Filling out the New Jersey Advance Directive for Health Care is a significant step in ensuring your medical preferences are respected. This guide provides clear, step-by-step instructions to help you complete the document accurately and effectively.
Follow the steps to complete your New Jersey advance directive.
- Press the ‘Get Form’ button to acquire the document and open it in your editor of choice.
- Print your name clearly on the top line of the document in the designated space.
- Under section A - TERMINAL CONDITIONS, indicate your treatment preferences by marking a check or an (X) next to either option 1 for withholding treatment or option 2 for continuing treatment.
- In section B - PERMANENTLY UNCONSCIOUS, follow the same method to denote your preferences regarding treatment in the event of permanent unconsciousness.
- For section C - INCURABLE AND IRREVERSIBLE CONDITIONS THAT ARE NOT TERMINAL, mark your choice for withholding or continuing life-sustaining treatment.
- Section D - EXPERIMENTAL AND/OR FUTILE TREATMENT allows you to choose whether you direct such treatments to be withheld. Mark your preference.
- Under section E - BRAIN DEATH, you can express your personal beliefs regarding the declaration of death. Mark your choice accordingly.
- In section F - SPECIFIC PROCEDURES AND/OR TREATMENTS, detail specific treatments you do or do not want by marking the corresponding options.
- For section G - ORGAN DONATION, indicate whether you wish to donate your organs by marking the appropriate option.
- Utilize the SPECIFIC INSTRUCTIONS area to write any additional wishes or instructions that reflect your values and preferences.
- Complete the DURABLE POWER OF ATTORNEY FOR HEALTH CARE section by appointing a primary and alternate health care representative who will make decisions on your behalf, signing and dating the document.
- Ensure that your signature is witnessed by two individuals or notarized, as required.
- After completing the document, create several copies. Keep the original in an accessible location and distribute copies to your health care representatives, doctors, and family members.
Complete your advance directive online today to ensure your health care preferences are documented and respected.
______ I appoint this person to make decisions about my medical care if there ever comes a time when I cannot make those decisions myself. I want the person I have appointed, my doctors, my family and others to be guided by the decisions I have made in the parts of the form that follow.
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