Can employment medical checks access all your medical records?

I got hired by a federal law enforcement agency and must now submit to a medical exam. My physical will be with an in-house federal doctor. I know that the agency can access the results of this physical, what I am wondering is if they can access my complete medical records. I've read that they can only access records that I give them consent to look at. For example, if I sign a consent form to look at my records at "Hospital A", they can. However, if I made no mention about my records at Hospital B and never gave consent, then they cannot access those records. I'm wondering if this policy is true? Also, when it comes to medical records, do they even care about anything but the results from the physical. I'm getting the feeling that the medical exam isn't a big deal, they just want to see if your capable of walking, talking, hearing, seeing, and other basic activities?

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