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Advance Directives for Health Care - Government of New …

The New Jersey Commission on Legal and Ethical Problems in the Delivery of Health CarePage 1 of 2 PROXY DIRECTIVE--(Durable Power of Attorney for Health Care)Designation of Health Care RepresentativeI understand that as a competent adult, I have the right to make decisions about my Health care. There maycome a time when I am unable, due to physical or mental incapacity, to make my own Health care decision. Inthese circumstances, those caring for me will need direction and they will turn to someone who knows my valuesand Health care wishes. By writing this durable power of attorney for Health care I appoint a Health carerepresentative with the legal authority to make Health care decisions on my behalf and to consult with myphysician and others.

the event my wishes are not clear, my representative is authorized to make decisions in my best interest, based on what is known of my wishes. This durable power of attorney for health care shall take effect in the event I become unable to make my own

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