What are my patient rights ...an hiv blood test was sent out with out my verbal consent or written consent let alone my knowledge

Your rights under HIPAA, the federal health privacy law, have been violated under the circumstances. The issue for you is going to be how you remedy the issue and what, if anything, your damages are. Damages will be the big problem here, because it is possible that the violation is a purely technical one without giving rise to any actual harm. You will need to review the circumstances with your own attorney.