Asking you to fill out a form is not a violation of HIPAA. HIPAA protects your privacy, but your employer is not asking your doctor, or someone else that knows your medical history, for this information, they're asking you directly.
It's your choice whether you fill out this form. I work in retail and I was asked to fill out a form like this. Retail work can be dangerous, lots of lifting, bending, and injuries can happen easily. I'm not surprised they're asking about any neck or back problems you have.
If you choose not to fill out this form then be prepared that you may lose the job. But ultimately you don't have to give any information you don't want to give. Of course, in the same token, they don't have to keep you as an employee either.
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