Thomas Jefferson University

Greenphire Clincard

If you would like more information about Greenphire Clincard, please contact the Jefferson Clinical Research Institute by emailing JCRI@Jefferson.edu.


Required W-9 Form

All patients must complete a new W-9 each calendar year.

Translated Documents

Greenphire ClinCard FAQ Pamphlet

Description Version Date
Chinese - Simplified 12/2019
Chinese - Traditional 5/24/18
Creole 12/2019
French - Canada 12/2019
Korean 7/2019
Portuguese - Brazil 12/2019
Russian 12/2019
Spanish - US 12/2019
Vietnamese 12/2019

Patient ClinCard Receipt Template

Description Version Date
Chinese - Simplified 5/24/18
Chinese - Traditional 5/24/18
Korean 5/17/18