Topic: How To Deal With Multiple Names and Social Security Numbers and
Photo IDs

Erin, a couple of locales in the state of Florida (maybe more) developed a
system of "white cards," issued specific to an area in which farm workers
without documents may be working. These same cards, issued for "labor
identification," supported by local growers and contractors, can be used
for services that might include health care. This was a few year ago, and
I've not maintained contact with this practice to know its current status.

Up front, an agricultural worker presenting for services can be asked to
re-use the same "identity" each time he or she comes for services. He or
she can be told that this will (a) facilitate speedy and efficient services
each time seeking services, (b) avoid having to duplicate certain exams and
laboratory tests. Concept of "continuity" is akin to that of knowing
someone well enough to provide the very best treatment each time he or she
appears for services. It doesn't hurt to emphasize that "reporting to
authorities" will not occur, even (briefly) explaining how identifiers are
not sent to central organizations, when submitting counts of services, if
that in fact is the case.

Farm workers working in Florida may have recently been "employed" in states
that have some form of La Matricula or another document.

Another issue for developing consistency in naming is how to handle double
surnames. Some federal agencies from what I understand are encouraging
persons with double surnames to use the last one in the series as "surname"
and the first one in the series as "middle name." Challenging in how one
sets up data base, to avoid duplication, and maintain information on
alternative names.

Keith V Bletzer