Planning for future medical care often includes decisions about treatments, trusted decision-makers and personal values. Organ and tissue donation may also play an important role in that planning. If you want your wishes to remain clear, you may wonder where to record them and how different legal documents work together under New Jersey law.
Keeping these records consistent could help reduce uncertainty for your family and the person you choose to speak on your behalf.
How can you document your organ donation wishes?
New Jersey offers several ways to record your organ and tissue donation preferences. Each document serves a different purpose, so they may work best when they support one another instead of creating conflicting instructions.
You may include your wishes in:
- Your instruction directive, where you describe your health care preferences and organ donation choices
- Your proxy directive, which names a health care representative to make medical decisions if you cannot
- Your New Jersey organ donor registry enrollment, which records your decision to become a donor
The New Jersey Revised Uniform Anatomical Gift Act allows adults to make an anatomical gift through the state donor registry and other recognized legal documents. Keeping your records consistent could make your wishes easier to identify if questions arise.
Why should your directive documents match?
Consistent documents may help reduce confusion during an emotional time. Your health care representative, family members and medical providers could have an easier time following your wishes when each document reflects the same decision.
You may also benefit from reviewing your documents after major life events, such as:
- Getting married or divorced
- Having or adopting a child
- Experiencing a significant change in your health
- Changing the person serving as your health care representative
Regular updates could help keep your records accurate and reduce the chance of misunderstandings.
How can you help your family prepare the directive?
Written documents play an important role, but conversations matter as well. Family members may feel more confident about your decisions when they hear your wishes directly from you. Your health care representative may also feel better prepared to speak on your behalf if your preferences need clarification.
It may also help to keep copies of your advance care planning documents in an accessible place and let trusted family members or friends know where to find them.
Keep your plan clear and current
Advance care planning often works best when each document supports the others. Reviewing your proxy directive, instruction directive and organ donation preferences from time to time may help keep your records aligned as your life changes. Those reviews can also create opportunities to discuss your wishes with your family and your health care representative, which may help everyone better understand the choices that matter most to you.

