Please download, complete & submit the following forms to Prevent Blindness Texas to request services:

• Prevent Blindness Texas Application for Glasses & Eye Exam
• Harris County Application for Glasses & Eye Exam (Harris County residents, please complete both forms)

Applicants may return completed applications in person or via mail to any statewide location or to our Texas Headquarters at:

Prevent Blindness Texas
2202 Waugh
Houston, Texas 77006
Telephone: (713) 526-2559
FAX: (713) 529-8310