Medical Consultation Referral Form
Fillable PDFFor medical (non-refractive) consultations — cornea, glaucoma, cataract, and general eye care referrals.
Download PDFPartnering Optometrists
Partner with Berg-Feinfield Vision Correction for advanced surgical and specialty eye care. We work alongside referring optometrists to co-manage your patients with expertise, technology, and clear communication.
The optometrists who refer to us aren't sending their patients away — they're trusting us with people they've often cared for over many years. I don't take that lightly. Our job is to do the surgery well, keep the referring doctor informed at every step, and return the patient to the practice that knows them best. Co-management works when all of us stay focused on the same thing: that patient seeing clearly for the rest of their life. Those partnerships are one of the most rewarding parts of what I do.
Alan M. Berg, MD
Co-Founder, Berg-Feinfield Vision Correction
Our Commitment to Co-Management
Hear how Berg-Feinfield partners with referring optometrists to care for the patients you send our way.
Refer a Patient Online
Complete the secure form below to refer a patient. Our referral coordinator will follow up to schedule the consultation.
The secure form may take a few moments to load. If it doesn't appear, download a fillable PDF below or email Outreach@BergFeinfield.com.
A Partnership You Can Trust
Referring optometrists count on Berg-Feinfield for surgical excellence and a collaborative approach that keeps you at the center of your patient's care.
Advanced Technology
FDA-approved, all-laser platforms and precision diagnostics for accurate, dependable surgical outcomes.
Surgical Expertise
Board-certified ophthalmologists with decades of experience in refractive, cataract, corneal, and specialty surgery.
Collaborative Care
A true co-management partnership that keeps you central to your patient's care before and after surgery.
Communication With Referring Doctors
Clear, timely updates so you stay informed on your patient's diagnosis, treatment, and progress.
Convenient Los Angeles Locations
Five convenient offices across the greater Los Angeles area make referrals easy for you and your patients.
A Simple Referral Process
From referral to return, we make co-management seamless for you and your patients.
01
Refer
Send your patient through our secure online referral form or contact our team to get started.
02
Coordinate
We schedule the consultation and coordinate testing — keeping you in the loop throughout.
03
Treat
Your patient receives advanced surgical or specialty care from our board-certified ophthalmologists.
04
Return Patient Care
We return your patient to your practice for ongoing follow-up and routine care.
Specialty Services for Your Referrals
A full spectrum of surgical and specialty eye care to support the patients you refer.
LASIK & PRK
All-laser refractive surgery to reduce or eliminate dependence on glasses and contacts.
Learn moreCataract Surgery
Traditional and laser-assisted cataract surgery with a full range of premium lens options.
Learn morePremium Lens Implants
Multifocal, toric, and extended-depth-of-focus intraocular lenses for a fuller range of vision.
Learn moreCorneal Care
Corneal transplantation, cross-linking for keratoconus, and management of complex corneal disease.
Learn moreDry Eye Treatment
Advanced diagnosis and in-office therapies for lasting relief from chronic dry eye.
Learn moreComprehensive Ophthalmology
Glaucoma, medical eye care, and the full spectrum of specialty ophthalmology services.
Learn moreDownload Referral Forms
Prefer to fax or bring a form with the patient? Download and complete a fillable PDF.
Refractive Consultation Referral Form
Fillable PDFFor LASIK, PRK, EVO ICL, and refractive lens exchange consultation referrals.
Download PDFOptometrist Resources
Additional forms, marketing materials, education, and events for our partnering optometrists.
Additional Printable Forms
The full library of co-management and patient forms — pre-op and post-op forms, consent forms, the info pad, and the insurance cheat sheet.
View all forms →Upcoming Events & CEs
Dinners, continuing-education events, and opportunities to connect with our surgical team.
See the calendar →Refer With Confidence
Ready to partner with Berg-Feinfield Vision Correction? Refer a patient online or reach out to our team — we're here to support you and the patients you send our way.
866-2-SEE FARFor help with a referral, email Outreach@BergFeinfield.com.
Disclaimer: General information on practice development and medical billing provided on this page is intended for educational purposes only and should not be relied upon as a source for legal or medical advice. Berg-Feinfield Vision Correction will not be liable for misinterpretation arising out of the use of these resources.