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Healthcare Onboarding Best Practices for Small Practices

Healthcare onboarding best practices for small practices with 5-50 staff. HIPAA training, credential verification, OSHA compliance, and 90-day timeline. No HR required.

Nick Anisimov

Nick Anisimov

FirstHR Founder

Onboarding
20 min

Healthcare Onboarding Best Practices

For small medical, dental, and therapy practices without HR departments

When a medical practice hires a new employee, two clocks start running simultaneously. The first is the standard onboarding clock: get them productive, integrated, and comfortable. The second is the compliance clock, and it has hard deadlines that do not care how busy the practice is or whether there is an HR department to manage them.

At a small medical, dental, or therapy practice, these two clocks are usually managed by one person: the office manager, who is also doing scheduling, billing, patient intake, and answering phones. The compliance piece is where things break down, not because people are careless, but because the requirements are specific, the documentation expectations are high, and no one ever gave them a clear checklist for healthcare specifically. That gap is what this guide addresses.

TL;DR
Healthcare onboarding requires compliance steps that do not exist in general business: HIPAA training before any PHI access, OSHA bloodborne pathogens documentation before patient contact, credential verification before Day 1, and annual refresher cycles. At a small practice without HR, the office manager handles all of it. This guide provides the complete checklist, practice-type requirements, and a Day -30 to Day 90 timeline.

Why Healthcare Onboarding Fails at Small Practices

The failure pattern at small practices is consistent: a new hire starts on Monday, the office manager walks them through the schedule and introduces them to the team, and by Tuesday they are in the system, seeing patients, and handling records. The HIPAA training happens at some point in the next few weeks when there is time. The credential verification was done informally. The OSHA training gets mentioned but never documented.

This is not negligence. It is the result of one person managing a regulated onboarding process without a framework designed for that scale. I built FirstHR partly around this problem, specifically the compliance tracking that office managers currently do manually in spreadsheets, or not at all.

The Cost of Getting It Wrong
Strong onboarding improves new hire retention by 82% and productivity by over 70% (Brandon Hall Group). In healthcare, add patient safety risk and regulatory exposure to the turnover cost calculation. Replacing a single medical assistant costs $40,000 to $60,000 when lost productivity is included.

The stakes in healthcare are different from general business. An undertrained new hire in a software company might miss a deadline. An undertrained new hire in a medical practice might harm a patient, access records without authorization, or create a reportable HIPAA breach in their first week. The compliance requirements exist precisely because these risks are real, and regulators audit small practices the same way they audit hospital systems.

Research shows that 20% of employee turnover happens within the first 45 days, and only 29% of new hires feel fully prepared and supported to excel after onboarding (Gallup). SHRM puts the cost of each bad early exit at an average of $4,700 per hire in direct costs alone, before the clinical replacement timeline is factored in. The cost of employee turnover guide breaks down the full financial impact for small businesses.

What worked for me
The single change with the biggest impact was building a pre-hire verification checklist that starts at offer acceptance, not Day 1. By the time a new hire showed up, every credential was already verified and documented. That eliminated the panic of discovering a license issue three days into someone's employment, which happened twice before we built the system.

What Makes Healthcare Onboarding Different

Healthcare onboarding is general onboarding plus six compliance layers that do not exist anywhere else. Each layer has its own documentation requirement, its own timeline, and its own regulatory body. Skipping any of them creates exposure.

Federal HIPAA compliance
Every employee who touches patient data needs Privacy Rule and Security Rule training before accessing PHI. No grace period. Violations start at $100 per incident.
Credential verification
State license, NPI, DEA (if applicable), CPR/BLS, malpractice history, OIG exclusion list check. Each requires a separate verification process with its own timeline.
Infection control training
OSHA bloodborne pathogen standard (29 CFR 1910.1030) requires documented training before exposure-prone tasks. BBP, PPE, sharps disposal, sterilization protocols.
EMR/EHR competency
New hires need to learn your specific system before treating patients. Scheduling errors and documentation mistakes are safety events, not just operational ones.
Patient communication standards
HIPAA-compliant communication, release of information process, how to handle patient complaints, mandatory reporter requirements for certain staff roles.
Emergency protocols
Code procedures, evacuation plan, AED location and use, exposure incident response. Not optional regardless of role. Every person in the practice needs this.

The key difference between healthcare onboarding and every other type: several of these steps must be completed before the employee has patient contact. You cannot train HIPAA on week three when the new hire has been documenting in the EMR since Day 2. You cannot verify a license after someone has already been practicing. The sequence matters as much as the content.

For general onboarding frameworks that apply across all of these healthcare-specific requirements, the general onboarding best practices guide covers the foundational structure that healthcare onboarding builds on. The compliance elements here are in addition to that framework, not a replacement for it.

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The Complete Healthcare Onboarding Timeline: Day -30 to Day 90

This timeline assumes a small practice where the office manager handles onboarding without dedicated HR support. Adapt the specific tasks to your practice type and state requirements, but keep the sequence intact. The compliance steps are ordered by regulatory requirement, not convenience.

Days -30 to -1Pre-Hire
Run background check and OIG/GSA exclusion list check
Verify state license via state licensing board website
Verify NPI registry (providers and nurses)
Confirm DEA registration (prescribers only)
Collect CPR/BLS certification (verify it is current)
Order drug screening (pre-employment, role-dependent)
Request immunization records (flu, Hepatitis B, MMR, Tdap, TB test)
Set up EMR/EHR login credentials before Day 1
Send welcome email with Day 1 logistics and parking information
Brief your team on new hire name, role, and start date
Day 1First Day
Complete I-9 verification: Section 1 by end of Day 1, Section 2 within 3 business days
Collect W-4 and state withholding forms before first paycheck
Complete HIPAA Privacy Rule and Security Rule training before any PHI access
Review and sign HIPAA workforce acknowledgment
Tour of facility: patient areas, staff-only areas, emergency exits, AED location
Introduce to every team member individually
Issue ID badge, access cards, logins, and keys
Lunch: you cover it. First impressions matter.
End of day: 15-minute check-in. What was confusing?
Week 1Orientation
Complete OSHA bloodborne pathogens training (required documentation)
Review infection control protocols: PPE, hand hygiene, sharps disposal, sterilization
Complete EMR/EHR training with supervised practice sessions
Review emergency procedures: codes, evacuation, exposure incident response
Shadow a senior team member for role-specific workflows
Review patient communication standards and HIPAA-compliant messaging
Daily 15-minute check-ins every morning
File state new hire report (due within 20 days in most states)
Days 30-60Contributing
Formal 30-day compliance audit: verify all training completions are documented
EMR competency check: can they use the system without assistance?
First independent patient interactions (clinical roles)
Formal 30-day review: performance against expectations
Identify training gaps and address them before the 60-day mark
Begin reducing daily check-ins to weekly
Days 61-90Owning
Operate independently across all core role responsibilities
Formal 90-day performance review with credential file update
Set schedule for annual HIPAA refresher training
Set schedule for annual BBP refresher training
Confirm CPR/BLS renewal date is calendared before expiration
Gather two-way feedback on onboarding experience

The most important element of this timeline is the pre-hire phase. Everything from credential verification to drug screening should be completed before Day 1, not during the first week. When credential verification happens in parallel with someone already working, you create a window of exposure: a new hire practicing under an unverified license, or accessing PHI before their background check clears.

For the 30-60-90 day onboarding plan structure including goal-setting and milestone reviews, that guide covers the performance management side of this timeline in full detail.

The Remote Hire I-9 Problem
If your new hire is not physically present on Day 1, you cannot verify their I-9 documents yourself. Remote healthcare hires require an authorized representative to complete Section 2 verification in person. Photos of documents do not satisfy USCIS requirements. Plan for this before the new hire starts, not after.

10 Healthcare Onboarding Best Practices for Small Practices

These practices are ordered by compliance priority. The first three are non-negotiable. The remaining seven separate practices with strong onboarding from those that lose new hires in the first 90 days.

1
Verify credentials before Day 1, not afterCompliance
License verification, OIG exclusion check, and background screening take time. Start at offer acceptance, not on the first day. If a license check fails on Day 3, you have already violated policy by allowing patient contact.
2
Complete HIPAA training before any PHI accessCompliance
HIPAA requires workforce training before employees access protected health information. No grace period, no exceptions. If they touch a chart, a screen, or a file on Day 1, HIPAA training must happen first. Document completion with dates and signatures.
3
Treat infection control as non-negotiable, not nice-to-haveSafety
OSHA's bloodborne pathogens standard requires documented training for any employee with occupational exposure risk. This is not limited to clinical staff. Front desk staff who handle specimens, linens, or sharps containers need this training. Document everything.
4
Build an EMR competency plan, not just login accessOperations
Giving someone login credentials is not EMR training. Build a supervised practice sequence: observe, then do supervised, then do independently. An EMR documentation error is a safety event. Budget three to five days for EMR proficiency before independent patient documentation.
5
Assign a clinical mentor, not just an administrative buddyCulture
Healthcare onboarding requires two types of peer support: an administrative buddy for HR questions and a clinical mentor for patient care protocols, documentation standards, and role-specific procedures. In small practices these can be the same person, but both functions need to be covered.
6
Conduct a 30-day compliance audit, not just a performance check-inCompliance
At 30 days, verify that every required training is documented: HIPAA acknowledgment signed, BBP training completed, infection control training completed, emergency procedure review documented. Gaps at 30 days are fixable. Gaps discovered at a state audit are not.
7
Use a role-specific shadowing protocol, not general observationTraining
Medical assistant shadowing looks different from front desk shadowing, which looks different from provider shadowing. Build a brief shadowing guide for each role: what to observe, who to shadow, how many sessions, and what the sign-off criteria is. Generic instructions produce inconsistent results.
8
Train patient communication standards before first patient contactCompliance
HIPAA-compliant communication, how to respond to patient complaints, release of information process, mandatory reporter requirements for applicable roles, and how to handle requests from attorneys or insurers. Every patient-facing staff member needs this before talking to a patient.
9
Cover emergency procedures with every hire, regardless of roleSafety
Code procedures, evacuation plan, AED location and use, fire extinguisher location, exposure incident response (needle stick protocol, who to call, what forms to file). A billing specialist who witnesses a patient fall needs to know the emergency response protocol. This is not clinical-staff-only content.
10
Use the 90-day review to update the credential fileCompliance
The formal 90-day review is also a credential file checkpoint. Verify that all credentials are still current. Set calendar reminders for upcoming renewals: CPR/BLS (typically every 2 years), annual HIPAA refresher, annual BBP refresher. Building renewal tracking into the 90-day review prevents credential lapses.

The common thread across all ten: documentation. In healthcare, an undocumented training session legally did not happen. When a state auditor or an OCR investigator asks for evidence of HIPAA training, verbal assurance is not evidence. Dates, signatures, and training completion records are the only proof that holds up.

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Healthcare Compliance Checklist: HIPAA, OSHA, and Beyond

This checklist covers the minimum required training content for each compliance area. Use it as a training outline and a documentation checklist. Every item should have a completion date and employee signature in the personnel file. The OSHA bloodborne pathogens standard is the authoritative source for the BBP training requirements below.

HIPAA Privacy Rule
What counts as Protected Health Information (PHI)
Minimum Necessary standard: access only what is needed for the job
Patient rights: access, amendment, accounting of disclosures
When disclosure without authorization is permitted
How to respond to requests from family members, employers, and attorneys
HIPAA-compliant communication: email, fax, text, and phone
Breach notification process: what constitutes a breach and who to notify
Signed workforce acknowledgment with date: keep in employee file
HIPAA Security Rule
Password policy: complexity, expiration, no sharing
Workstation security: screen lock, positioning away from patient view
Device and media controls: encrypted devices, disposal of hardware
Audit controls: who accessed which records and when
Transmission security: secure email for PHI, no unencrypted attachments
Physical safeguards: locked file rooms, visitor log, clean desk policy
Reporting a suspected breach or unauthorized access
OSHA Bloodborne Pathogens (29 CFR 1910.1030)
What constitutes an occupational exposure risk for this role
Standard precautions: treat all blood and OPIM as infectious
PPE selection and proper use: gloves, masks, eye protection, gowns
Hand hygiene: when and how, including before and after glove use
Sharps safety: never recap with two hands, proper disposal containers
Sterilization and disinfection procedures relevant to the role
Exposure incident response: immediate steps, who to notify
Hepatitis B vaccination: offered within 10 days of assignment
Annual training refresher required and documented
Additional Compliance Items
State-mandated training (varies by state and license type)
Immunization requirements: flu, Hepatitis B, MMR, Varicella, Tdap, TB test
CPR/BLS certification: current status verified, expiration calendared
Mandatory reporter training: child abuse, elder abuse (role and state-dependent)
Cultural competency training (required in some states for clinical licenses)
Patient rights under state law: may exceed federal HIPAA floor

Two points on HIPAA penalties every small practice owner should understand. First, fines scale from $100 per violation for unknowing violations to $50,000 per violation for willful neglect. Second, OCR does not reduce penalties based on practice size. A two-provider practice faces the same regulatory framework as a 500-bed hospital. For the required documents that accompany these training requirements, the complete guide to onboarding documents covers federal and state forms with filing deadlines.

Annual Refresher Requirements
HIPAA training is required at hire and annually thereafter. OSHA bloodborne pathogens training is required at hire, annually, and whenever job tasks change to create new exposure risk. CPR/BLS certifications expire on set schedules. Build these renewal dates into your HR calendar at the 90-day review so nothing lapses quietly.

Credential Verification for Small Practices Without a Credentialing Department

Large healthcare systems have credentialing departments. Small practices have whoever is available to run searches online. The good news: most credential verification is free and can be done without a vendor. The requirement is knowing where to look and doing it consistently before every hire.

CredentialHow to VerifyTimingRe-verification
State professional licenseState licensing board website (free)Before Day 1Every 2 years at renewal
NPI (providers, nurses, some allied health)NPPES NPI Registry: npiregistry.cms.hhs.gov (free)Before Day 1At hire only; NPI does not expire
DEA registration (prescribers only)DEA Diversion Control website (free)Before Day 1Every 3 years at renewal
OIG exclusion listexclusions.oig.hhs.gov (free)Before Day 1Monthly is best practice
GSA SAM exclusion listsam.gov (free)Before Day 1Monthly is best practice
CPR/BLS certificationInspect physical card from AHA or ARCBefore Day 1Every 2 years
Background checkThird-party vendor (cost varies)Before Day 1At hire; periodic re-check per state rule
Drug screeningThird-party vendor or onsite kitPre-employmentRandom or post-incident per practice policy
Immunization recordsRequest from employee directlyBefore Day 1Flu annually; TB test per state rule
Malpractice history (providers)NPDB: npdb.hrsa.gov (fee required)Before Day 1At hire only for most small practices

Three items on this list deserve special attention. First, the OIG and GSA exclusion lists. Medicare and Medicaid do not reimburse services provided by or under the direction of excluded individuals. If an excluded person works in your practice and bills Medicare, you face repayment obligations and potential penalties. The search is free. Do it before hire and monthly thereafter as a best practice.

Second, state license verification. Verify the license directly through the state board, not through a document the employee provides. Licenses can be revoked or restricted without the employee disclosing it. If you provide telehealth across state lines, verify each state license separately.

Third, the NPDB (National Practitioner Data Bank). It contains malpractice payment history, adverse action reports, and Medicare/Medicaid exclusion reports for physicians and nurses. Access requires a fee. Small practices are not required to query it but are permitted to, and for practices hiring providers it is worth the cost.

Onboarding by Practice Type

Healthcare is not monolithic. A dental practice and a therapy practice share HIPAA requirements but almost nothing else in their onboarding protocols. The table below covers unique requirements for each small-practice setting. Use the relevant row as an addition to the general healthcare checklist, not a replacement.

Practice TypeUnique Onboarding Requirements
Dental practiceDental board license, radiation safety training, sharps and mercury handling, infection control for dental procedures, dental-specific OSHA training, nitrous oxide safety if applicable
Therapy / counseling (LCSW, LPC, LMFT)State licensure verification per state for telehealth, telehealth consent and technology training, mandated reporter training, suicide risk protocol, clinical supervision documentation
ChiropracticState chiropractic board license, X-ray safety and lead apron use if imaging on site, scope of practice review, informed consent procedures
OptometryState optometry board license, frame and lens ordering systems, contact lens fitting protocols, HIPAA for vision plan billing, scope of practice for therapeutic lens prescribing by state
Urgent careCLIA waiver review if running point-of-care tests, rapid test protocols, wound care and splinting procedures, transfer protocols for higher-level care
Physical / occupational therapyState license, Medicare and insurance billing compliance, functional outcome reporting, equipment safety, documentation standards for functional assessments
DermatologyPathology specimen handling, biopsy procedures training, phototherapy safety, aesthetic procedure consent and documentation, laser safety if applicable

The most frequently overlooked requirement is telehealth compliance for therapy practices. A licensed counselor who is licensed in one state and provides telehealth to a patient in another state may be practicing without a valid license in that second state. Each state has its own telehealth practice laws. Verify that your telehealth practitioners are licensed in every state where they see patients before their first remote session.

For dental practices, infection control training goes beyond the general OSHA bloodborne pathogens standard. State dental board requirements add specific protocols for instrument sterilization, water quality, and surface disinfection. A new dental assistant needs practice-specific training on your autoclave, your sterilization log, and your instrument tracking system.

CLIA Waiver for Urgent Care and Small Clinics
If your practice runs point-of-care tests, you need a CLIA certificate of waiver. New employees who run waived tests need training on the specific test methodology, quality controls, and documentation requirements. This is separate from general clinical training and is frequently missing from small practice onboarding.

Complete Office Manager Healthcare Onboarding Checklist

This is the consolidated checklist for the person running onboarding at a small practice without dedicated HR support. Use it for every hire. The compliance sections have no flexibility on timing. The training sections have some scheduling flexibility but zero flexibility on completion before the relevant patient contact begins.

For the complete employee onboarding checklist covering federal forms, state requirements, and general onboarding tasks alongside these healthcare-specific items, that guide covers the full scope. If you want to track these steps with automated reminders and documentation, the guide to automating the onboarding process covers how to set up document workflows that create compliance files automatically. For new hire paperwork including federal deadlines and filing instructions, the new hire paperwork checklist covers every form with timing and penalty information.

Pre-Hire (Before Day 1)
Background check ordered and cleared
OIG and GSA exclusion list verified
State license verified via licensing board
NPI verified (providers, nurses, applicable allied health)
DEA registration verified (prescribers only)
CPR/BLS certification current and photocopied
Immunization records collected or waiver signed
Drug screening completed (role-dependent)
EMR/EHR login created and tested
Welcome email sent with Day 1 instructions
Day 1 Compliance
I-9 Section 1 completed by employee on or before Day 1
I-9 Section 2 verified by employer within 3 business days
W-4 completed before first paycheck
State withholding form completed
HIPAA Privacy Rule training completed and signed
HIPAA Security Rule training completed and signed
HIPAA workforce acknowledgment signed and filed
Direct deposit setup
Benefits enrollment started (election window usually 30 days)
Week 1 Training
OSHA bloodborne pathogens training completed and documented
Infection control protocols reviewed
PPE training completed
Sharps disposal procedure reviewed
Emergency procedures reviewed: codes, evacuation, AED
Exposure incident response protocol reviewed
EMR training sessions scheduled and completed
Role-specific shadowing protocol started
Patient communication standards reviewed
30-Day Compliance Audit
All HIPAA training documented with dates and signatures
BBP training documented with dates and signatures
Infection control training documented
Emergency procedure review documented
State new hire report filed (due within 20 days in most states)
Benefits enrollment completed or waiver signed
EMR competency verified
30-day performance review completed
90-Day Review and Credential Update
Formal 90-day performance review completed
Credential file reviewed and updated
CPR/BLS renewal date calendared
Annual HIPAA refresher date calendared
Annual BBP refresher date calendared
State license renewal date calendared
Two-way onboarding feedback collected
Transition to regular performance management schedule

One practical note on documentation storage. Keep two separate files for each employee: a personnel file (general employment information, performance reviews, offer letters, W-4) and a compliance file (I-9, HIPAA acknowledgments, training completions, credential copies, immunization records). State and federal auditors may request the compliance file independently of the personnel file.

Key Takeaways
  • Healthcare onboarding requires compliance steps that must happen before patient contact: HIPAA training before PHI access, OSHA BBP training before exposure-prone tasks, and credential verification before Day 1.
  • The OIG exclusion list and GSA SAM list must be checked before every hire. Employing an excluded individual while billing Medicare creates direct financial and regulatory liability.
  • HIPAA training at hire is required, but so is annual refresher training. Build renewal dates into the 90-day review so nothing lapses without notice.
  • Every practice type has unique compliance requirements layered on top of the general healthcare framework: dental has sterilization protocols, therapy has state-by-state telehealth licensing, urgent care has CLIA waiver requirements.
  • Documentation is the compliance. An undocumented training session legally did not occur. Every training item needs dates, signatures, and a record in the compliance file.
  • The office manager running onboarding without HR support needs a pre-built checklist followed consistently for every hire, not informal processes that depend on memory.

Frequently Asked Questions

What is the onboarding process for new employees in healthcare?

Healthcare onboarding covers five phases: pre-hire credential verification (background check, license verification, OIG exclusion list, immunizations), Day 1 compliance (I-9, W-4, HIPAA Privacy and Security Rule training), Week 1 orientation (OSHA bloodborne pathogens training, infection control, EMR training, emergency procedures), a 30-day compliance audit, and a formal 90-day performance review with credential file update. Unlike general onboarding, healthcare requires documented compliance training before employees have any patient contact.

What are the HIPAA training requirements for new employees?

HIPAA requires workforce training before employees access Protected Health Information. There is no federal deadline within the first day, but the practical requirement is clear: no PHI access until training is complete. Training must cover the Privacy Rule and the Security Rule. Training completion must be documented with dates and employee signatures. Annual refresher training is also required. Violations start at $100 per incident and can reach $50,000 for willful neglect.

How long does healthcare onboarding take?

Healthcare onboarding requires a minimum of 90 days for clinical roles and 60 days for administrative roles. The first week is compliance-intensive: HIPAA training, OSHA bloodborne pathogens training, and infection control must be completed before patient contact. EMR competency typically requires three to five supervised sessions before independent documentation. The 30-day and 90-day formal reviews are non-negotiable checkpoints. Rushing healthcare onboarding is a patient safety issue, not just an HR inconvenience.

What credential verification is required for new healthcare employees?

Required pre-hire verifications include: state professional license via state licensing board, NPI registry for providers and nurses, DEA registration for prescribers, OIG LEIE exclusion list, GSA SAM exclusion list, CPR/BLS certification, background check, and immunization records. Drug screening is role-dependent but standard in most clinical settings. All verifications must be completed before Day 1, not after. A license check that fails after a new hire has already started creates an immediate compliance problem.

What is OSHA bloodborne pathogens training and who needs it?

OSHA's bloodborne pathogens standard (29 CFR 1910.1030) requires documented training for any employee with occupational exposure risk. This includes clinical staff, but also any staff who handle specimens, soiled linens, or sharps containers. The training must cover standard precautions, PPE use, hand hygiene, sharps safety, exposure incident response, and Hepatitis B vaccination, which must be offered within 10 days of assignment. Training completion must be documented. Annual refresher training is required.

How do you onboard a new employee in a small practice without an HR department?

The office manager becomes the HR, compliance, and onboarding coordinator simultaneously. This works when you build a checklist and follow it consistently. The checklist covers three tracks: compliance (HIPAA, OSHA, I-9, W-4, state new hire reporting), credential verification (license, NPI, OIG exclusion, CPR/BLS, immunizations), and training (EMR, infection control, patient communication, emergency procedures). The compliance items have fixed deadlines that do not change based on how busy the practice is.

What happens if a small practice skips HIPAA training during onboarding?

An untrained employee who accesses PHI creates an immediate HIPAA violation. The Office for Civil Rights investigates complaints and breaches and can levy fines ranging from $100 to $50,000 per violation depending on culpability. Small practices are not exempt. OCR does not reduce penalties based on practice size. The training itself takes two to three hours. The risk of skipping it is not proportionate to the time saved.

What forms are required for new employees in a healthcare practice?

Federal requirements include: Form I-9 (identity and work authorization, due Day 1 for Section 1 and Day 3 for Section 2), Form W-4 (federal tax withholding, before first paycheck), and state new hire reporting (within 20 days in most states). Healthcare-specific requirements include: HIPAA training acknowledgment signed and dated before PHI access, HIPAA workforce acknowledgment, OSHA BBP training documentation before exposure-prone tasks, and credential verification records. Keep all compliance documents in a dedicated file separate from general personnel records.

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