Division of Mental Health and Addiction Services

Governor Mikie Sherrill • Lt. Governor Dr. Dale G. Caldwell

Division of Mental Health and Addiction Services

Forms

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The Division of Mental Health and Addiction Services (DMHAS) has been managing the registry of Psychiatric Advance Directives (PADs).  DMHAS contracted with U.S. Living Will Registry (USLWR) to manage and maintain a voluntary, secure internet based registry for PADs.  You may access the registry here.

Use this secure tool to store your PAD and ensure your mental health care wishes are honored if you are unable to manage your own care.

This secure registry allows you to store your PAD so that mental health care providers and anyone else you grant access will honor your wishes.

The database of PADs at this website is held in a confidential and secure site, protected by the most up-to-date web and database security standards.  All information submitted will be used only by authorized individuals and will be kept completely confidential.  This information will not be shared or sold.

The links below will redirect you to NJPAD, the internet registry which is operated by the U.S. Advance Care Plan Registry (USACPR) powered by the U.S. Living Will Registry (USLWR).  DHS/DMHAS is not responsible for the operation and maintenance of the internet registry.

Create a new PAD account to store your PAD.
If you do not have a PAD download a blank form here:
PAD (English | Spanish)
Fillable PAD in PDF format (English | Spanish)
Instructions (English  | Spanish)

Login to your PAD account using your username and password.
Do you need to create a PAD account?
Create PAD Account

Access PAD using registrant's wallet card:
Wallet Card Lookup
Who can help me if my PAD is not followed or answer questions I might have about my PAD?