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Doctor-Patient Confidentiality Law for Pre-Placement Physical Exam

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  • 04-23-2015, 12:11 AM
    Mercy&Grace
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Even with a treating physician you sign an agreement giving the dr permission to release your medical info to other healthcare professionals that the dr may consult and your insurance company and others. Very, very few people read every paper completely before signing it. Then they say they never gave permisssion. These papers are signed when you do the New Patient paperwork.
  • 04-23-2015, 12:14 AM
    geek
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting Mercy&Grace
    View Post
    Even with a treating physician you sign an agreement giving the dr permission to release your medical info to other healthcare professionals that the dr may consult and your insurance company and others. Very, very few people read every paper completely before signing it. Then they say they never gave permisssion. These papers are signed when you do the New Patient paperwork.

    Yep. I'm sure the OP signed something like that.

    I'm a veteran of many an employer physical. Had two already this year- Coast Guard merchant marine renewal and the federal agency I work for. And lots of drug tests. And they can indeed share info with one another.
  • 04-23-2015, 12:56 AM
    Jeffable559
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting Dogmatique
    View Post
    When you say "prior to" do you mean "contingent upon"? What field of work are we discussing?

    It may not be as simple as Mercy has suggested,

    The job was for a position with a distribution center. Let me be a little more specific to what had happened. I had to take x-rays of my lower back. after the x-rays i was sent in my gown to drug test. I had synthetic urine in my pockets. I wasn't sure if i was going to test dirty or not, not important. anyways, i told the nurse i might test dirty and her attitude switched on me real quick, "i have to notify the doctor." The doctor comes in ranting about how I'm wasting his time. I went to put my clothes back on, when the nurse came in and said, "If you give me the synthetic urine, i will ask the doctor to at least let you try." I agreed and handed her the synthetic urine. Little did she know i had 2 on me. I went back to the bathroom, used the second bottle i had. She took it, and the doctor continued the exam. The exam was followed by a long lecture of how getting high at work is dangerous. I have no previous workers comp cases, no criminal background. In fact my previous job was with the competition, i have all the skills it would take the company 3-4 months to train a new employee. My real question, Being the doctor allowed me to continue the exam, does he have the right to tell my employer what happened? Or is there a patient/doctor law against this? He explained to me very clearly, "i am not a psychiatrist." Can i fight this at all? I'm very disappointed with this, any advice would help.

    When i say, "prior to", i mean after the interview i was offered the job on completion of the physical exam.
  • 04-23-2015, 01:22 AM
    cdwjava
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting Jeffable559
    View Post
    The job was for a position with a distribution center. Let me be a little more specific to what had happened. I had to take x-rays of my lower back. after the x-rays i was sent in my gown to drug test. I had synthetic urine in my pockets. I wasn't sure if i was going to test dirty or not, not important. anyways, i told the nurse i might test dirty and her attitude switched on me real quick, "i have to notify the doctor." The doctor comes in ranting about how I'm wasting his time. I went to put my clothes back on, when the nurse came in and said, "If you give me the synthetic urine, i will ask the doctor to at least let you try." I agreed and handed her the synthetic urine. Little did she know i had 2 on me. I went back to the bathroom, used the second bottle i had. She took it, and the doctor continued the exam. The exam was followed by a long lecture of how getting high at work is dangerous. I have no previous workers comp cases, no criminal background. In fact my previous job was with the competition, i have all the skills it would take the company 3-4 months to train a new employee. My real question, Being the doctor allowed me to continue the exam, does he have the right to tell my employer what happened? Or is there a patient/doctor law against this? He explained to me very clearly, "i am not a psychiatrist." Can i fight this at all? I'm very disappointed with this, any advice would help.

    When i say, "prior to", i mean after the interview i was offered the job on completion of the physical exam.

    Okay ... NOW it seems pretty clear what happened.

    Yes, he almost certainly has a right to relate information from the potential employer-paid medical exam to the potential employer. And given your intent to defraud and your admission that you are using drugs, I am not at all surprised that you did not get the job.

    The best way to prevent this from happening again???? STOP USING DRUGS!
  • 04-23-2015, 03:03 AM
    Dogmatique
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting Jeffable559
    View Post
    The job was for a position with a distribution center. Let me be a little more specific to what had happened. I had to take x-rays of my lower back. after the x-rays i was sent in my gown to drug test. I had synthetic urine in my pockets. I wasn't sure if i was going to test dirty or not, not important. anyways, i told the nurse i might test dirty and her attitude switched on me real quick, "i have to notify the doctor." The doctor comes in ranting about how I'm wasting his time. I went to put my clothes back on, when the nurse came in and said, "If you give me the synthetic urine, i will ask the doctor to at least let you try." I agreed and handed her the synthetic urine. Little did she know i had 2 on me. I went back to the bathroom, used the second bottle i had. She took it, and the doctor continued the exam. The exam was followed by a long lecture of how getting high at work is dangerous. I have no previous workers comp cases, no criminal background. In fact my previous job was with the competition, i have all the skills it would take the company 3-4 months to train a new employee. My real question, Being the doctor allowed me to continue the exam, does he have the right to tell my employer what happened? Or is there a patient/doctor law against this? He explained to me very clearly, "i am not a psychiatrist." Can i fight this at all? I'm very disappointed with this, any advice would help.

    When i say, "prior to", i mean after the interview i was offered the job on completion of the physical exam.

    Unfortunately, it appears you're not kidding.

    This in NO WAY violates any sort of privacy law.

    - - - Updated - - -

    Quote:

    Quoting Mercy&Grace
    View Post
    Even with a treating physician you sign an agreement giving the dr permission to release your medical info to other healthcare professionals that the dr may consult and your insurance company and others. Very, very few people read every paper completely before signing it. Then they say they never gave permisssion. These papers are signed when you do the New Patient paperwork.


    That's why the questions were asked.
  • 04-23-2015, 11:09 AM
    eerelations
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    So why did you lie in your first post?
  • 04-23-2015, 01:15 PM
    geek
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting Jeffable559
    View Post
    The job was for a position with a distribution center. Let me be a little more specific to what had happened. I had to take x-rays of my lower back. after the x-rays i was sent in my gown to drug test. I had synthetic urine in my pockets. I wasn't sure if i was going to test dirty or not, not important. anyways, i told the nurse i might test dirty and her attitude switched on me real quick, "i have to notify the doctor." The doctor comes in ranting about how I'm wasting his time. I went to put my clothes back on, when the nurse came in and said, "If you give me the synthetic urine, i will ask the doctor to at least let you try." I agreed and handed her the synthetic urine. Little did she know i had 2 on me. I went back to the bathroom, used the second bottle i had. She took it, and the doctor continued the exam. The exam was followed by a long lecture of how getting high at work is dangerous. I have no previous workers comp cases, no criminal background. In fact my previous job was with the competition, i have all the skills it would take the company 3-4 months to train a new employee. My real question, Being the doctor allowed me to continue the exam, does he have the right to tell my employer what happened? Or is there a patient/doctor law against this? He explained to me very clearly, "i am not a psychiatrist." Can i fight this at all? I'm very disappointed with this, any advice would help.

    When i say, "prior to", i mean after the interview i was offered the job on completion of the physical exam.


    You most likely signed a release. You attempted to cheat a drug test. The doctor most certainly can pass that info on and there's nothing you can do about it.

    You are not entitled to a job that you cheated to get.
  • 04-23-2015, 03:27 PM
    Who'sThatGuy
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Being that you disclosed that you had synthetic urine, the doctor put in the comment section for the lab to test the urine if it were synthetic or real. The MRO wrote in his report that the urine specimen was negative but it was synthetic urine. Yes they can test for it. And your potential employer was notified of it.

    Don't blame the doctor, the lab, the MRO or the potential employer. There is only one person to blame, yourself.

    Let me ask, you said distribution. Are you a commercial driver? If so, the state may also be notified about the failed drug test. And being that they tested for synthetic urine and it was confirmed, it would be labeled a failed drug test.
  • 04-23-2015, 03:36 PM
    wess1881
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting eerelations
    View Post
    So why did you lie in your first post?

    He probably doesn't view weed as a drug. Because it's from the earth, man. It's all natural, man. I don't do drugs, just weed man. :D
  • 04-23-2015, 10:30 PM
    Mercy&Grace
    Re: Doctor/Patient Confidentiality Law for Pre-Placement Physical Exam
    Quote:

    Quoting wess1881
    View Post
    He probably doesn't view weed as a drug. Because it's from the earth, man. It's all natural, man. I don't do drugs, just weed man. :D

    Well, if anyone doubts that marijuana affects a persons ability to reason, this is a perfect example.
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