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In this document you should give directions to the person you select as your spokesperson or health care agent or proxy about the full range of care you want. The representative may not choose any end of life decisions unless the principal specifically writes in that he or she would like that as an option. Adobe pdf ms word docx opendocument signing requirements 46 2b 8 9. The new jersey medical power of attorney form is a two part document consisting of a living will portion as well as a power of attorney section for health care.

Adobe pdf parental minor power of attorney to give health and educational powers to someone else over the caretaking of one s child. A medical power of attorney form also known as an advance directive or health care proxy is a form that allows a person to elect someone else to handle health care decisions on their behalf only if they are not able to do so themselves. Medical power of attorney allows a person to handle someone else s health care decisions only in the chance that he or she may not be able to think for themselves. The principal can choose to complete one of these sections or both.

The new jersey medical power of attorney form is a two part document consisting of a living will portion as well as a power of attorney section for health care. General power of attorney just like the durable form in that it conveys certain powers over property and assets but instead of staying in effect upon the principal s incapacity it becomes void upon incapacity. The principal can choose to complete one of these sections or both. Medical power of attorney referred to as an advance directive which allows someone to act as a health care surrogate and make decisions based on the patient s wishes.

Acknowledged by a notary public in accordance with 46 14 2 1. The power of attorney section proxy directive is used for appointing a health care representative to make decisions. New jersey health care proxy directive medical poa form also known as a durable power of attorney for health care or advance directive should be executed when one must appoint a health care representative to make medical decisions on behalf of the issuer this sort of paperwork will usually only come into play when the issuer or principal suffers a traumatic medical event that. The new jersey commission on legal and ethical problems in the delivery of health care page 1 of 2 proxy directive durable power of attorney for health care designation of health care representative i understand that as a competent adult i have the right to make decisions about my health care.

Proxy directive durable power of attorney for health care pdf 15k instructive directive living will pdf 28k developed by the new jersey commission on legal and ethical problems in the delivery of health care.

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