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223 N. Van Dien Avenue Ridgewood, NJ 07450

Mailing Address:
The Valley Hospital
223 N. Van Dien Avenue
Ridgewood, NJ 07450

What Is A Living Will?


A Living Will is a statement of your wishes at a point in time when treatment options are no longer helpful in successfully treating mental or physical diseases.

The Living Will allows you to state your wishes regarding treatments such as artificial feeding tubes, CPR, respiratory support, or hemodialysis. The Important Decisions Brochure (which can be viewed and printed below) can help you understand your choices.

The form includes two parts: a Health Care Proxy and the Advance Directive. After the form is filled out, you will need to have it witnessed by two people. Please note that the person you designate as your Health Care Proxy CANNOT act as a witness.

Keep your Advance Directive in a safe place. Also, it is very important to share this information with your family members, hospital, and physician. If you have any questions about how to fill out this directive, you may call the Patient and Family Relations Department at The Valley Hospital at 201-447-8169.

Please click here to view
and print Valley’s Living Will.

Click here  to view and print the Spanish version.

Please note: This document is in PDF format and you will need Adobe Acrobat Reader to view it. Most computers have this software already installed, but if you do not have it, please click here to download it for free.

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