Cynthia P. Letsch

Cynthia P. Letsch is the owner and managing attorney of Letsch Law Firm in Grimes, Iowa. Her practice focuses on elder law, estate planning, special needs planning, and probate and trust administration. She assists individuals and families with wills, trusts, asset protection, Medicaid planning, adult conservatorships, and related planning needs. Her work helps clients protect assets, prepare for long-term care, and create practical plans for future decision-making.

Cynthia earned her undergraduate degree from Southern Methodist University and received her Doctor of Jurisprudence from Drake University Law School in 1995, graduating with honors from both institutions. Her background also includes eight years of university-level teaching, private practice, and service as corporate counsel. This combination of academic and professional experience supports her ability to explain complex legal and financial issues clearly and to help clients evaluate planning choices and fiduciary responsibilities.

Cynthia opened her current office in 2013 and has developed a practice centered on the legal needs of older adults, people with disabilities, families, and fiduciaries. She advises on estate and asset preservation planning, Medicaid eligibility, special needs trusts, probate, and trust administration. She also speaks frequently on Medicaid for older adults, financial risk management for care facilities, and the duties of agents, guardians, conservators, and trustees.

Cynthia P. Letsch became a Certified Medicaid Planner in 2024 and is also accredited to represent clients in matters involving the US Department of Veterans Affairs. She is admitted to the Iowa, Nebraska, and Missouri bars and to federal courts in Iowa and Nebraska. Her professional involvement includes probate, trust, and elder law organizations, along with financial services and planning groups. Cynthia’s practical guidance helps clients address aging, disability, caregiving, and estate administration matters with greater clarity and preparation.

Law Office Affiliations

• Owner & Managing Attorney, Tom Fowler Law
• Member, Iowa State Bar Association
• Member, Missouri Bar Association
• Member, Nebraska State Bar Association
• Member, Dallas County Bar Association
• Member, National Academy of Elder Law Attorneys
• Member, Society of Financial Service Professionals
• Member, National Association of Insurance and Financial Advisors
• Member, Wealth Counsel
• Member, ElderCounsel

Licensed State

• Iowa
• Missouri
• Nebraska

Education

• Drake University Law School
  Juris Doctor (JD)
• Southern Methodist University
  Bachelor of Arts (BA)

Awards & Badges