New Jersey Statutes Title 26. Health and Vital Statistics 26 § 16-5

a. A valid written request for medication under P.L.2019, c. 59 (C.26:16-1 et al.) shall be in substantially the form set forth in section 20 of P.L.2019, c. 59 (C.26:16-20), signed and dated by the patient and witnessed by at least two individuals who, in the patient's presence, attest that, to the best of their knowledge and belief, the patient is capable and is acting voluntarily to sign the request.

b. At least one of the witnesses shall be a person who is not:

c. The patient's attending physician at the time the request is signed shall not serve as a witness.