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Print and Complete as a PDF

To access the PDF file, you will need to enter your name and email address. This ensures that we can update you about any legal changes that your state may require in the future as well as any other pertinent updates.  

The Healthcare Directive

No one knows the path that their healthcare journey will take them on. Completing the Netivot advance healthcare directive ensures that your healthcare decisions will be made by the person of your choice and according to your Jewish values.

The Netivot healthcare proxy and advance healthcare directive was created by Ematai with the advice of leading rabbis, healthcare professionals, social workers, & lawyers. This is a simple and easy-to-understand legal document that must be signed & witnessed. You designate your healthcare proxy who will make decisions on your behalf if you cannot. You further direct your proxy to make decisions in accordance with your Jewish values.  The directive provides the option to approve organ donation when permitted by Jewish law and an opportunity to designate a rabbinic consultant for your healthcare proxy. 
Gift your loved ones with the clarity and knowledge to speak on your behalf.

Versions of the Netivot healthcare directive are currently available for the United States, Ontario, and Quebec. Different versions will soon be available for the United Kingdom, Australia, and Israel.

Please contact us for more information.
The conversation guide, included below, is not a legal document and may be used anywhere in the world.

Netivot Healthcare Initiative Illustration
Netivot Pain and Risk Tolerance Illustration

The Conversation Guide

Family members may need to choose a plan of care in the face of medical uncertainties. Given the individualized nature of each case, end-of-life decision making requires a thoughtful and personalized approach.

By completing this guide, you will help those that care for you – your proxy, family, rabbi, and healthcare providers – to better understand your goals and preferences so they can apply them to each unique situation. The Conversation Guide will help you navigate the conversations which are difficult to start but essential to have.  It is a gift to your loved ones to provide them with greater clarity and avoid tensions or guilt caused by speculating about your values and preferences. Meaningful conversations bring families together.

The Netivot conversation guide is not a formal legal directive.  It does not need to be signed or witnessed and may be used anywhere in the world. The ultimate goal is to generate healthy communication and ongoing conversations about these topics in an open and loving manner.

If you prefer to complete the Netivot advance directive and conversation guide digitally, you can access it here.

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Special State Requirements:

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Residents of Wisconsin, Texas, New Hampshire, or Ohio

must download and print your state’s mandatory disclosure statement. You should review the mandatory disclosure statement before you sign your healthcare directive.  The mandatory disclosure statement must be attached and stored together with the healthcare directive.

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Residents of Missouri, North Carolina, South Carolina, & West Virginia

must sign the healthcare directive before two witnesses and a notary. Notarization is optional for everyone else. A notarization form is provided on the directive’s signature page.

Netivot is a free service to the community. Please support this initiative with a donation.

You are encouraged to consult with your own attorney for any questions about your specific needs or local requirements.  Nothing on this website or within any element of the Netivot healthcare directive or conversation guide constitutes the offer of legal advice from Ematai.

Illustration: Store your Netivot healthcare Documents
Store your Netivot healthcare directive in the cloud for 24/7/365 emergency access through our partnership with USACPR. An account with USACPR also provides a wallet sized emergency access card.

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Netivot was composed by Rabbi Dr. Jason Weiner of Cedars-Sinai Medical Center and Rabbi Dr. Shlomo Brody of Ematai.
It draws from the Jewish advance healthcare directive created for Cedars-Sinai. We are thankful to Cedars-Sinai for their encouragement of this project.