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U.S. employers are constrained by HIPAA privacy rules that make it illegal for most forms of your medical history to be used without your explicit permission.
An example of a case where they could use your medical history without your written permission would be if you were unconscious and wearing a Medical Alert bracelet. The company first aid team could use that information to guide their response strategy.
Follow the link below to the U.S. Government's web site where HIPAA is discussed.
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