Five WisheS - A Living Will Document

Five Wishes Online

Five Wishes is changing the way America talks about and plans for care at the end of life. More than 18 million copies of Five Wishes are in circulation across the nation, distributed by more than 35,000 organizations. The Five Wishes document meets the legal requirements in 42 states, including New Jersey and is useful in all 50. (Source: Aging with Dignity)

Five Wishes lets your family and doctors know:

  • Who you want to make health care decisions for you when you can't make them.
  • The kind of medical treatment you want or don't want.
  • How comfortable you want to be.
  • How you want people to treat you.
  • What you want your loved ones to know. 

 

 — Send me Five Wishes   
(Please include your mailing address. Five Wishes is a hard-copy booklet. See below for online version)

— Send me Five Wishes in Spanish — 

— Send me Voicing My Choices —
The nation's first advance planning guide especially for adolescents and young adults. 

 FIVE WISHES Living Will - printable form

Complete Five Wishes right now on screen or print out a personalized copy to complete by hand.
You’ll have 30 days to come back and make as many changes as you’d like. 

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Five Wishes - America's Most Popular Living Will

Five Wishes is America’s most popular living will document because it’s written in everyday language and helps people express their wishes in areas that matter most — the personal and spiritual in addition to the medical and legal. It also helps you describe what good care means to you, whether you are seriously ill or not. It allows your caregiver to know exactly what you want.

A Gift to Your Family

Completing Five Wishes is a gift to your family, friends and your doctor because it keeps them out of the difficult position of having to guess what kind of treatment you want or don’t want.

Families also use the Five Wishes document to help start and guide family conversations about care in times of serious illness. Five Wishes is helpful for all adults – everyone over 18 years old – and anyone can start the conversation within a family. Sometimes it begins with grandparents and other times it is the younger family members who bring up the topic.

Regardless of your age, you can bring this gift to your family. If you want to get started right now, you can use Five Wishes Online to complete and print a customized document immediately, and share instantly with those you care about.

For a printed copy of Five Wishes, please contact Christine Corti at (856) 552-3258.

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Dr. Stephen Goldfine, Chief Medical Officer“There are some conversations that should take place more than once around the kitchen table, not in the hospital ICU.”

- Dr. Stephen Goldfine

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