What rights do I have as a patient to sign a blank HIPAA form?

Was given a blank form to fill out and don't know who what or why this information is needed. What are my rights

You have a right to informed consent. Signing a blank authorization means that informed consent is not given. A blank authorization means that someone could put in anything they want in the blank lines and release and or receive any information they want. Do yourself a favor and go back in to the office and revoke that particular authorization in writing. Then tell them that if they want anything from you in the future you demand to be informed and will not sign any further authorizations that are blank.

As far as what another poster has said dont believe that any doctors office gives the "hipaa act" to a patient when they request it. No doctors office does that. The entire HIPAA regulations is entirely too large and no doctors office would foot that kind of bill for copying expense for any patient that asks. They probably give a copy of the NPP or Notice of Privacy Practices as required by the HIPAA regulations, but the NPP is miniscule in size when compared to the entire set of regulations.

Must identify patient.
Must state where records are being requested from.
Must state where records are being disclosed to.
Must give clear explanation of info being sent.
Must give patient the right to revoke their authorization.
Must make patient aware that once their records are received by the requestor, they may be re-disclosed and not protected under HIPAA laws.
Must give expiration date.
Must be signed and dated by the patient.

never sign your name to anything without knowing what it is first.

You have the right to have a copy of what you will sign made and given to you. You can also request a copy of the HIPAA act itself. I work in a doctor's office and we give each patient a copy of the HIPAA act and to have them sign saying they have read and understand it.