While our general guidelines state, “HMIS records should use a client’s full, legal name whenever possible,” the intent is to help users find records and avoid duplicate client accounts when clients have nicknames. Due to the amount of unintentional trauma that is caused by using deadnames (given names that do not match a client’s gender identity) and incorrect pronouns, which continually reminds clients of their trans-identity and otherness, we suggest that HMIS users put the client’s real chosen name in the main name section. If they have documentation with their deadnames on them, please put the deadname in the alias section on that same page. By doing this, any search in HMIS for their deadname will still pull the account up.
Additionally, we suggest that HMIS users update any client information on the global enrollment page to reflect the client’s current gender identity and sexual orientation. Name change issues are common and often challenging for transgender people. While these issues can be resolved if a client gets changes their legal name and gender with the state, the ability to do so is based on financial privilege and the ability to navigate bureaucratic barriers. If you have any clients who would like to legally change their name and/or gender, we recommend reaching out to community resources for assistance. In Sacramento, the Gender Health Center can assist clients with the court paperwork for a name and gender change. This paperwork includes a fee waiver request. If your client does not qualify for the fee waiver, they can contact the national Transgender Lifeline to apply for a microgrant to pay for court fees.