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I was living with a host family in Peru and found out after the fact they had served me coca tea. I might have to take a pre -employment drug test this week. It is unclear if I will test positive or not. Should I disclose this possibility prior to the test, or only if confronted with a positive result? My instinct was to be up-front about it, but I am concerned that it could be seen as a confession of violating the drug free workplace policy and get my job offer rescinded. Or is anything I disclose to occupational health confidential under HIPAA and they only report the results as positive/negative? Also, if the test occurs after I have already technically been offered and accepted the position, would this be considered being fired because of drugs and affect my ability to get other jobs?