Request a Consultation Thank you for choosing Heart of Texas Eye Institute. Please fill out the following form for a medical eye care appointment. If you are looking for a LASIK consultation, please click here. Name* First Last Email* Phone*Do We Have Your Consent to Text You a Reply?*YesNoConsultation Type*—CataractCorneaDiabetic EyeDry EyeGlaucomaAllergiesBotoxJuvedermOtherRequested Consultation Date* Date Format: MM slash DD slash YYYY Messageutm_sourceutm_mediumutm_campaignutm_termutm_contentgclidOriginal ReferrerMost Recent ReferrerOriginal Landing PageCommentsThis field is for validation purposes and should be left unchanged.