Refractive Patient Information Form
Your medical and vision history for a LASIK, PRK, ICL, or refractive lens exchange evaluation.
Download PDFPatient Forms
Save time at check-in. Download and complete the forms for your appointment before your visit, then email them to our team ahead of time.
Forms for Your Appointment
Choose the set that matches your appointment type. Complete each form, then email it to our team before you arrive.
Refractive Surgery Appointment
For LASIK, PRK, ICL, and RLE visits. Complete and email these forms to info@bergfeinfield.com.
Privacy Notice
A summary of how Berg-Feinfield protects and uses your personal health information.
Download PDFAll Other Appointments
For general and new patient visits. Complete and email these forms to info@bergfeinfield.com.
New Patient Information Form
Contact details, medical history, and insurance information for your first visit.
Download PDFNew Patient Information Form (Spanish)
La versión en español del formulario de información para nuevos pacientes.
Download PDFPrivacy Notice
A summary of how Berg-Feinfield protects and uses your personal health information.
Download PDFQuestions About Your Forms?
Our team is happy to help you find the right form or answer any questions before your visit. Give us a call or reach out any time.