If I am requesting FMLA or Medical Leave can the company I work for make me fill out a "HIPAA Autorization to Disclose form" that gives them (the Company), the Disability management company, it's affiliates, their disability consultants, health care professionals and staff permission to obtain the necessary information to adjudicate a claim for disability and/or leave of absense benefits. Before they process or grant either the FMLA or Medical Leave? This form wants us to sign and give the Company a date range that they can have the authorization then they want us to put a check next to each one of the following they are allowed to have: Complete Medical Records, Alcohol and or Substance Abuse, Psychiatric Evaluation and testing, hospitalization,confinement, AIDS/HIV Test information, other evaluations/assessments(specify).
If needed I can supply a copy of the form without the name of my employer.