Patient Forms - TLC The Littleton Clinic

Patient Forms

New Patient Forms

Filling out the following forms and bringing them to your first visit will save time at the office, maximize your time with the provider, and help us stay on schedule. All new patients need to complete the New Patient Forms.

Please note, if your paperwork is not completed prior to your arrival at our office, some or all of your appointment time may be used for this purpose. Thank you for your cooperation and understanding.

Additional Forms

These forms are optional. You do not need to complete them unless specifically requested to do so.

The Bredesen ProtocolTM

Click here to learn more about The Bredesen ProtocolTM at TLC.

The first step for participation is to sign up for the program. You can find the page with sign-up information here: On the sign-up page, click on “HOW TO PARTICIPATE.” Following that link will open up an email. Send in your contact information, and Dr. Bredesen’s office will contact you to discuss the program.

Once you have gone through the initial onboarding process with Dr. Bredesen and his team and you are ready to schedule an appointment with Dr. Hopp, call our office to schedule. Please complete the following forms in their entirety, being as detailed and honest as you can. The forms labeled “ReCODE Forms” only need to be filled out for patients participating in The Bredsen ProtocolTM. Note: The New Patient Forms below are identical to the packet found above. You only need to fill out one of them.

Fitness Forms

The following forms are only needed for fitness clients if recommended by our staff.