Additional Forms
Forms are fillable PDFs as well as printable.
Forms can faxed to: 818-845-1916 or emailed to: info@bergfeinfield.com
OD Co-Management Forms
Refractive Surgery Consultation Request Form
Medical Consultation Referral Form
Pre-Operative Form (Co-management)
Post-Operative Form (Co-management)
BFVC Info Pad (To give to patients)
Patient Forms
LASIK Consent Form
PRK Consent Form
LASIK / PRK / Pre-Operative Instructions
Vision for Life Patient Guide
Privacy Notice