Final answer:
A Notice of Privacy Practices acknowledgement is an example of a HIPAA form in a medical record that informs patients about their health information usage under HIPAA regulations.
Explanation:
An example of a HIPAA form that is included in the medical record is a Notice of Privacy Practices acknowledgement. This form is essential as it informs patients about how their health information may be used and disclosed by healthcare providers or insurers while ensuring their privacy rights under HIPAA regulations.
Learn more about HIPAA forms in medical records here:
https://brainly.com/question/39408629
