[Florida, US] I was recently hired as a cashier for a convenience store/gas station that is a national corporation. I was offered a job and told to come in for training last Tuesday. I arrived at training to be told I wasn’t on the training list. I contacted my manager and he looked into. Although I signed all of my intake forms, I didn’t sign a HIPAA release form, which stated that I was not required to sign it. My manager said that my on-boarding hadn’t been complete, because I didn’t sign the HIPAA form, and that’s why I hadn’t been added to the training list. I told him I wasn’t comfortable signing the form, as it is a blanket release, and he said he would contact corporate for further direction.
Today he texted me: “Hi [my name], it seems we have an issue submitting your Paycor onboarding. I have contacted our corporate office and they said HIPAA agreement is required to sign for associates. You would have to log back in from a desktop PC. Let me know if this is okay with you.”
I told him I would get back to him. I’m not comfortable with signing the release period. As stated, it seems to give unbridled access to my medical history without cause to whomever wants access to it within the company. I also feel that requirement for signing this form goes against ADA compliance, and that it’s unlawful to have this requirement. The form itself states that I am not required to sign it, and that I will not be penalized for non-signing. I have done my drug screen and other new-hire requirements except this. Please advice!!
This is the text of the form:
“AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION
I, the person signing below, hereby authorize, upon presentation of this authorization ("Authorization"), any
physician, medical practitioner, hospital, clinic or other health facility, as well as any employer, and any of its or their business associates, to release to the Company and its authorized employees and agents, copies of all records relating to me including, without limitation, records of treatment and care. The purpose for the release of documents is based on my request.
This Authorization expires upon any termination of my employment with the Company.
I understand that the information disclosed under this Authorization may be re-disclosed by the Company and may no longer be subject to the same protection the information is currently given.
I understand that the information to be disclosed is confidential. I also understand that by signing this Authorization, I am specifically authorizing the release of health information and records that may be protected by state or federal law or regulations.
I understand that I may revoke this Authorization at any time as explained by the disclosing entity in its Notice of
Privacy Practices, except to the extent that action has already been taken in reliance upon this Authorization. I also understand that I have the right to refuse to sign this Authorization. I also understand that the provision of
treatment, payment or enrollment in a health plan or eligibility for benefits may not be withheld based on my refusal to sign this Authorization except in the following cases:
(i) when the release of information under this Authorization is required for a health plan during initial enrollment; (ii) as part of my participation in a research study; or (iii) when treatment is provided solely for the purpose of disclosing it to a third party such as a work-related physical done at my employer’s request. Please advise!! Must I sign this?
A copy of this Authorization may be used in place of, and with the same force and effect as, the original.
I HAVE READ AND UNDERSTAND THIS AUTHORIZATION. I HAVE RECEIVED A COPY OF THIS FORM, AND I AM THE INDIVIDUAL
OR AM AUTHORIZED TO ACT ON BEHALF OF THE INDIVIDUAL TO SIGN THIS DOCUMENT.”