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Month 3 Letter of intent

Cyndi Najar • October 24, 2023

Medical and History care

We are continuing in the Medical and History care section this month.

Other Problems: describe any special problems your child has, such as bad reactions to the sun, or staph infections, if he or she becomes too warm. (you know all the catch all things you just know)

Procedures: Describe any helpful hygiene procedures such as cleaning wax out of ears, trimming toe and finger nails, or cleaning teeth ( any special equipment like 3 headed toothbrush). Are these procedures currently done at home or by a doctor or other professional? What do you recommend for the future?

Operations: List all operations and the dates and places of their occurrence.

Hospitalization: List any other periods of hospitalization your child has had. List the people you recommend to monitor your child’s voluntary or involuntary hospitalizations and to act as liaison with doctors.  

Birth control: if your son or daughter uses any kind or birth control pill or device, list type, dates used, and doctor prescribing it.

Devices: Any adaptive or prosthetic devices such as glasses, braces, shoes, hearing aides or artificial limbs.

Medication: List all prescription medications currently being taken, plus dosage, and the purpose of each one. Describe your feelings about the medication. List any medications that have proved effective for problems that have occurred frequently in the past and the doctor prescribing the medication. List medications that have not worked well in the past and the reason. Don’t forget to list any medications that cause allergic reactions.

Over the Counter (OTC): List any OTC that has proven helpful such as vitamins or dandruff shampoo. Describe conditions helped by these medications and frequency of use.

Monitoring: Indicate whether your child needs someone to monitor the taking of medication or apply ointments. If so who typically does this and who do you suggest for the future. What special qualifications would this person need.

Procurement: does your child need help to obtain medications. Do they need reminders or assistance to take medications.

Diet: if your child has a special diet of any kind please describe in detail. Indicate the reason for the diet. If there is no special diet you might want to include tips about what works well for avoiding weight gain and for following the general guidelines of a balanced, healthy diet. Describe the foods your child likes best and where the recipes for these foods can be found. Lastly, if there is a strong aversion to any particular food or texture.




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All families should create a letter of intent. It provides information and details about your family when you are no longer here to provide it. I can not tell you how many times I have called my mom to get information about an illness or accident on myself, so this information is valuable for every family to have but vital for families with individuals with disabilities. I get it is a daunting task..... SO let's break it up into monthly bite size bits. One eats the elephant one bite at a time!! Month 1 1. Information about Father. A. General Information a. Full Name b. Social Security Number c. Complete Address, Phone Numbers Home and Work d. Date of Birth e. Place of Birth: city, state, country f. Fluent Languages g. Religion h. Race i. Blood Type j. Number of siblings k. ? US Citizen B. Marital Status: Current Marital Status, Date of Marriage, Place of Marriage, Number of Children from Marriage. Then add the same information for any previous marriages. C. Family: List complete names of father’s siblings and parents, For those still living list their addresses, phone numbers, and pertinent biographical information 2. Repeat step 1 for Mother 3. Your Child or Children A. General information a. Full Name and what name they like to be called. b. Numbers: Social Security, Complete Address, Phone, Height, Weight, Shoe size, and clothing size. c. More details: Gender, race, fluent language, religion, and citizenship. d. Birth: List birthday and time, and any complications. Give Birth weight and height, place of birth and City and state were raised. e. Siblings: give detailed information both geographical and emotional (closeness to individual with disability) Include details on any spouses of siblings as well. f. Other relationships: friends or family child knows and likes, provide a description of the relationship. g. Guardians: if an adult has child been declared incompetent, Named Successors, provide details for any and all guardians, h. Advocates: list the people in order who you foresee acting as advocates for your child after your death. (Speak with them) i. Trustee: indicate if you have set up a Trust for your child and provide a list of Full Names, addresses and phone numbers of all trustees. j. Representative Payee: Indicate if you have one and provide the details. k. Power or Attorney: Indicate the type and provide details of individual. l. Final Arrangements: Describe any arrangements that have been made for your child’s funeral and burial. List individuals or company to contact. Also list any payments that have been made and what is covered by those payments. If you have not made specific arrangements indicate if Burial or Cremation is preferred.
Planner — Springdale, AR — LFG: Special Needs Division
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