Do I Legally Have To Disclose Diagnoses/medications In A Routine Physical Post-offer But Pre-employment?

Location: North Carolina, USA. I work in the psych field and as it is with medical positions here, every time that I get a job offer of any kind I’m told to schedule a physical alongside a test for TB and a standard drug test.

I have bipolar disorder (in full remission, no episodes for years) and ADHD along with residual dysautonomia from long covid, and I take medication for all of these. When I arrive to the physical office I’m given a paper with a place to write down the medications I’m prescribed and a place to write an answer to questions about whether or not I’ve ever had any diagnosed condition during my lifetime and which ones.

In my prior job, I worked in a hospital so they did their pre-employment screening on-campus and I filled out everything honestly down to the tiniest detail because I figured they could see my chart to double-check if anything looked weird (probably not true regarding access but at the time since it was the company I go to as a patient I wasn’t taking any chances). They asked if I was seeing a psychiatrist regularly, I said yes, and I was cleared successfully.

This place, however, was a standalone industrial clinic and the paperwork seemed more detailed than I remembered the hospital ones being. I still ended up filling it out accurately (they didn’t ask about bipolar specifically, so I didn’t add on that I had it) and during the physical therapy doctor asked about what I took lithium for because I had listed all medications just in case anything prescribed to me somehow showed up as a false positive and got sent for further testing. There’s …not really anything else you can answer for regarding lithium, so I had to disclose bipolar, and the doctor immediately ended the conversation and stated that he needed a letter from a psychiatrist stating that I wasn’t violent or aggressive “during episodes”. I let the job that accepted me know that I had to schedule another appointment in order to get a letter to be cleared and they emailed back that they were rescinding the offer because I was expected to get through pre-employment in a timely manner.

Cue attempt #2 in a rural county to get cleared, I got another job offer and went to a separate industrial clinic because they told me they always used one specific one to the area. By this point I had the letter from my psychiatrist so I brought it with me in my pocket just in case I wasn’t cleared as capable of work the way I was for my original job. I disclosed on the office forms that I had bipolar disorder in full remission- since I had listed lithium as a medication and not disclosing bipolar last time didn’t seem to help.

This time, everything went fine up until the doctor entered for the physical and he read the forms I filled out. Immediately, he told me that he couldn’t clear me without a letter from “whoever you see about that” saying that I was capable of work and being employed, so I gave him the letter and he kept it. Then, he asked why I took propranolol (a beta blocker that lowers heart rate) and I disclosed that I had POTS from long covid but that while medicated I didn’t experience symptoms significant enough to impact any aspect of work and that I was essentially able-bodied. He shook his head and said that he didn’t feel comfortable saying that “someone with that much going on” was able to work even with the psychiatrist letter stating that for all intents and purposes career-wise, I don’t experience any symptoms of mental illness either rn.

I contacted the rep who hired me and explained that I was told to go to my primary care doctor and be cleared by them because the doctor there had said he didn’t feel he knew enough about my conditions to sign anything. Predictably, I was emailed back that the offer was rescinded due to schedule and timing reasons. So I’m applying for jobs again.

If I’m told to get another physical before a job starting date, do I legally have to disclose all medications that I take daily? Do I legally have to disclose all current diagnoses? Or am I able to leave these off and just have the doctor examine me and then decide if I’m clear from what they gather during exams? I had no issues with getting cleared when I was being evaluated by doctors who seemed to believe my words in combination with their own examination when I said I was physically able and mentally stabilized- but now I live in a rural area and it feels like disclosing these things is just fully killing the chance of ever getting a paycheck.