2021 Citizenship Progress Report (August)

Group Point of Contact:
Citizenship Progress Reports (Calendar Year 2021)

Question Title

* 1. I, (enter your name in the text box below), a Baptist Physician Partners affiliated group point of contact, do hereby attest to reading the BPP Citizenship Progress Report sent to me and will disperse to my providers, as required by Baptist Physician Partners, LLC and Baptist Physician Partners, ACO, LLC.

Group Name

Taxpayer Identification Number (TIN)

Submission by
(Name, Title)