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Critical Points

* Occupational Safety and Health Administration (OSHA) rules apply to all physicians and clinics providing occupational medicine services, not just to company physicians.

* Contract physicians providing occupational medicine services can incur liability for violating OSHA rules.

* OSHA rules on access to medical records can pose problems for private medical practices.

* Regulated industries such as transportation impose additional restrictions on occupational medicine practice.

* Contract physicians should address OSHA requirements in their agreements with employers.

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