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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

X

Forms

Chapter:

A

Forms

9-20-2010

Subchapter:

1

Forms

Issuance:

11.74

CP&P Form 11-74, Health Care Representative Brochure

 

 

Click here to view or print CP&P Form 11-74, Health Care Representative Brochure.

 

WHEN TO USE IT

This informational brochure is used in conjunction with CP&P Form 11-73, Health Care Representative Proxy Directive.

 

The brochure explains the use of the Health Care Representative Proxy Directive, a legal document, completed by adolescents, 18 years of age or older, in care or exiting care, completed by the adolescent to designate a Health Care Representative, to make medical decisions on the adolescent's behalf, should he or she become incapacitated and unable to make medical decisions for him or herself.

 

DISTRIBUTION

 

Original

-

Adolescent