Is it possible to not disclose to my employer the reason for medical leave of absence

I do not wish to disclose to my employer or co-workers why I am taking a medical leave. Do I have legal rights to keep that information confidential? Of course, with the employer it is said to be kept confidential but I think we all know .. usually .. especially in a small work circle .. that just doesn't happen. Is my PCP's sign-off saying I will be off for a specific amount of time due to medical purposes sufficient? Has anyone dealt will a similar situation?

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