1. Home »
  2. Power of Attorney »
  3. New Jersey »
  4. Medical

New Jersey Medical Power of Attorney Form

Fill Now Click to fill, edit and sign this form now!

New Jersey medical power of attorney, or “proxy directive,” designates a health care agent to make medical decisions on behalf of a principal. The agent will be responsible for communicating the principal’s health care wishes when he or she is unable due to mental or physical incapacity. In addition to the provisions establishes in this document, the principal may also wish to draft a Living Will, which allows them to define their preferred end-of-life treatment options.

Agent’s Duties § 26:2H-61

Laws § 26:2H-58

Signing Requirements (§ 26:2H-56) – Two (2) Witnesses or Notary Public


State Definition

Statute§ 26:2H-55

“Proxy directive” means a writing which designates a health care representative in the event the declarant subsequently lacks decision making capacity.