Elizabeth Masterson, an emergency room physician in San Francisco focused on her profession, is in a car crash while on her way to a blind date at her sister’s. Three months later, landscape architect David Abbott, needing a fresh start after his wife’s death, takes a sublet on Elizabeth’s apartment.
Elizabeth begins to appear in the apartment, and both are confused. She thinks he is a squatter, and he thinks she broke in. They soon realize she moves through walls and objects. Elizabeth does not know who she is and insists she is not dead. David unsuccessfully tries to have her spirit exorcised. As only David can see and hear her, others think he is hallucinating and talking to himself. Elizabeth asks him to help her discover who she really is. David talks to her neighbors but they do not know her.
David enlists the help of a psychic bookstore clerk, Darryl, who says Elizabeth is not really dead. He also tells David he has clearly got a blocked heart and needs to let go of the woman who was previously in his life. When Elizabeth says he should get over being dumped, he storms out, and Darryl tells Elizabeth to not disrespect the dead. She finds David and he explains about the death of his wife.
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Checking a restaurant, she recognizes that a man has a medical emergency, so Elizabeth helps David save his life. Suddenly, she remembers being a doctor, and they go to the nearest hospital, where it all comes flooding back. Dr. Fran Lo, her mentor, takes him to Elizabeth, who is in a coma. When David touches her hand, Elizabeth feels it, meaning she is still connected to her body.
Elizabeth’s sister Abby arrives, and Dr. Brett Rushton – Elizabeth’s rival – notifies her that Elizabeth signed a DNR order. He asks her to sign off on disconnecting life support, and she says she will consider it.
David and Elizabeth bond. When he takes her to a beautiful landscaped garden he designed, she tells him she senses she has been there before. In fact, she was dreaming of the garden, while catnapping during a long shift.
When David is told he has been offered a long-term lease, he realizes Elizabeth will be taken off life support. He tries to prevent it by going to Abby’s to tell her that she is communicating with him. Elizabeth opts to spend her last night with David in the apartment. The next morning, he is determined to prevent her death by stealing her body from the hospital.
Sometime later, Elizabeth moves back into her apartment. Drawn to the roof, she finds David, who has transformed it into a landscaped garden. He reveals he had gotten in using the spare key her spirit had shown him. When Elizabeth asks for her key back, their hands touch, her memory of the events during her coma is restored, and they kiss happily.
The story ends on a heartwarming note, showing how love can transcend even the boundaries between life and death. Watch Just Like Heaven full movie to experience this beautiful tale yourself.