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Apr 01

Creating a Letter of Intent: Your Essential Guide for Future Caregivers

As a father of three kids with special needs, I’ve spent countless hours thinking about what happens when I’m not around to advocate for them. It’s one of those thoughts that keeps you up at night, not because you want to dwell on it, but because you love your kids so much that you need to know they’ll be okay.

That’s where a Letter of Intent comes in. It’s not a legal document, and it won’t replace your special needs trust or guardianship paperwork. But in many ways, it’s even more important because it captures the things only you know about your child. The little details that make all the difference in their daily life.

What Exactly Is a Letter of Intent?

Think of a Letter of Intent as a detailed roadmap for anyone who might care for your child in the future. It’s a living document that evolves as your child grows and changes. While legal documents outline who will care for your child and how their finances will be managed, your Letter of Intent explains the how and why behind everything else.

This document complements your legal planning tools, such as special needs trusts, ABLE accounts, and guardianship documents. It provides the context and personal knowledge that no legal form can capture.

The beauty of a Letter of Intent is that it gives you peace of mind today while providing essential guidance to future caregivers tomorrow.

Why Your Family Needs One

Here’s the thing: there’s information about your child that only you, as their primary caregiver, know. How do they communicate when they’re frustrated? What helps them calm down when they’re overwhelmed? Which foods are absolutely off-limits and which ones make them happy?

Creating this document ensures continuity of care if something happens to you. It reduces the stress of transitions for both your child and their future caregivers. Most importantly, it honors your child’s preferences and needs in ways legal documents simply can’t.

Think about documenting daily routines, medical and behavioral insights, emergency response protocols, and quality of life priorities. These are the details that help your child thrive, not just survive.

The Core Components You Need to Include

Personal Information and Preferences

Start with the basics: identifying information, birth and medical history, diagnosis details, and communication abilities. But don’t stop there. Describe your child’s personality, their likes and dislikes, comfort items, and daily routines. Include information about sensory sensitivities, whether that’s certain textures, sounds, or lighting.

Medical Care Details

List current physicians and specialists, along with medication schedules and administration details. Document any allergies, medical equipment needs, and therapy schedules. Include emergency protocols and hospital preferences. Make sure to note where insurance information is stored and summarize important medical history that new providers should know.

Daily Living and Routines

This is where you get specific. What does a typical morning look like? What about evenings? Document meal preferences and any dietary restrictions. Describe sleep schedules and bedtime routines. Explain personal care needs and behavioral management strategies that work. Include activity schedules, social connections, and preferred hobbies.

Education and Work Information

If applicable, summarize educational history and current programs. Include Individualized Education Plan (IEP) or support plan details, learning styles, and strengths. Document employment history, vocational goals, and day program information. Don’t forget the transportation arrangements already in place.

Financial and Legal Overview

Document the government benefits your child receives. Include information about their special needs trust, ABLE account, and representative payee arrangements. List guardianship or conservatorship details and insurance policies. Provide contact information for your financial planner, attorney, and CPA. Make it clear where important documents are stored.

Future Planning and Wishes

This is where you get to paint a picture of the life you hope your child will have. What are your residential preferences? What does quality of life look like for your child? Include any spiritual or religious considerations, end-of-life preferences, and thoughts about sibling involvement. Think about extended family roles, too.

Getting Started Without Feeling Overwhelmed

I know what you’re thinking: this sounds like a massive project. And you’re right, it is substantial. But here’s the secret: you don’t have to do it all at once.

Start with what you know best. Maybe that’s your child’s daily routine or their medical information. Choose a format that works for you, whether that’s digital or physical. There’s no perfect way to organize this, only the way that makes sense for your family.

Don’t get hung up on making it perfect. Be as detailed as you need to be, but remember that something is better than nothing. Include the “why” behind routines and decisions, not just the “what.” This context helps future caregivers better understand your child.

Plan to update your Letter of Intent at least annually. Certain life events should trigger updates too: changes in diagnosis or medication, new therapies or programs, residential moves, or changes in family structure.

Make sure key people have copies. That includes your designated guardian, backup caregivers, your special needs trust trustee, and your professional advisors. Think carefully about storage and access so the document can be found when needed.

Moving Forward with Confidence

Creating a Letter of Intent is one of the most loving things you can do for your child and for the people who will care for them in the future. It’s not easy to think about these scenarios, but the peace of mind it provides is invaluable.

This document is part of a comprehensive plan for your child’s future. It works alongside your special needs trust, ABLE accounts, and other financial tools to ensure your child receives the care and support they need.

Remember, starting imperfectly is infinitely better than not starting at all. You know your child better than anyone else in the world. This is your opportunity to share that knowledge and ensure their quality of life continues regardless of what the future holds.

If you’re feeling overwhelmed by the process or want to ensure your Letter of Intent integrates properly with your overall financial and legal planning, we’re here to help. Schedule a consultation to discuss your family’s special needs planning strategy.

About The Author

Aaron entered the US Army at 19 and served for eight years, including three deployments overseas during the Global War on Terrorism. After that, he worked at a VA counseling center in Mesa, Arizona, during which he also earned an associate’s degree in Criminal Justice from Mesa Community College. He is now a ChFC®, ChSNC®, FPQP®, and NSSA®. Aaron has lived in multiple states and countries over the last ten years, but landed back in Washington, where he now lives with his wife, Emily, and their three children, Graham, Channing, and Oakley.

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