OPINION

W.G. ARNOT, III, Chief Justice.

The jury convicted Jose C. Lopez of the offense of aggravated sexual assault of a child and assessed his punishment at confinement for 99 years. We affirm. Appellant presents five issues for appellate review. In the first issue, he contends that the admission of the forensic report violated his Sixth Amendment rights to confrontation and cross-examination. In the second and third issues, appellant challenges the legal and factual sufficiency of the evidence to sustain his conviction for aggravated sexual assault. In the fourth issue, appellant challenges the factual sufficiency of the evidence to sustain a conviction for the lesser included offense of sexual assault. In the fifth issue, appellant asserts that he received ineffective assistance of counsel because trial counsel failed to object to the admission of the forensic report. In his first issue, appellant complains that his Sixth Amendment rights were violated by the admission of a forensic report. The record shows, however, that appellant did not object to the introduction into evidence of State's Exhibit No. 1, the victim's medical records from Memorial Hermann Hospital. Included within that exhibit is a Sexual Assault Examination Forensic Report Form that contains a statement made by the victim to the examining nurse. Even constitutional errors may be waived by the failure to object at trial. Broxton v. State, 909 S.W.2d 912, 918 (Tex.Cr.App. 1995). Because appellant did not object or otherwise bring the Sixth Amendment issue to the attention of the trial court, appellant did not preserve that issue for review. TEX.R.APP.P. 33.1; Paredes v. State, 129 S.W.3d 530, 535 (Tex.Cr.App. 2004). Appellant's first issue is overruled. In his second and third issues, appellant contends that the evidence is legally and factually insufficient to show that appellant penetrated the victim's sexual organ with his finger when the victim was under the age of 14. In order to determine if the evidence is legally sufficient, we must review all of the evidence in the light most favorable to the verdict and determine whether any rational trier of fact could have found the essential elements of the crime beyond a reasonable doubt. Jackson v. Virginia, 443 U.S. 307 (1979); Jackson v. State, 17 S.W.3d 664 (Tex.Cr.App. 2000). In order to determine if the evidence is factually sufficient, we must review all of the evidence in a neutral light and determine whether the evidence supporting guilt is so weak that the verdict is clearly wrong and manifestly unjust or whether the evidence contrary to the verdict is so strong that the beyond-a-reasonable-doubt burden of proof could not have been met. Zuniga v. State, 144 S.W.3d 477 (Tex.Cr.App. 2004); Ross v. State, 133 S.W.3d 618 (Tex.Cr.App. 2004); Vasquez v. State, 67 S.W.3d 229, 236 (Tex.Cr.App. 2002); Cain v. State, 958 S.W.2d 404 (Tex.Cr.App. 1997); Clewis v. State, 922 S.W.2d 126 (Tex.Cr.App. 1996). The record shows that the victim is appellant's biological daughter. In a delayed outcry, the victim reported that appellant began sexually abusing her when she was about 8 years old. At trial, the victim testified that appellant started sexually abusing her when she was 8 years old and that he continued doing so until the victim moved into a shelter at age 19. The victim testified that, when the abuse started, appellant "would just start touching a breast, touching my vagina, rubbing of his hand." According to the victim, appellant "would put his finger and start rubbing it around. He would rub it and I would squirm. I would move around. Sometimes it hurt." Appellant also made the victim rub his penis with her hand. Additionally, the victim testified that appellant had made her "suck on [his penis] until [she] had white stuff in [her] mouth." The victim testified that appellant began having anal intercourse with her when she was 14 or 15 years old and that appellant had attempted to have vaginal intercourse with her. Appellant denied ever touching his daughter in a "sexually improper" way. In support of his argument on appeal, appellant relies on the victim's answer that she was "13, 14" and that she was not sure when asked how old she was "when that started." Although the prosecutor had resumed the topic of digital penetration when she asked "when that started," it is not clear that the victim was referring to digital penetration when she answered the question. Furthermore, the victim subsequently discussed in detail one occasion that occurred when she was close to nine years old. The victim testified that her mother took her little sister to Mexico to be baptized. The victim could not go because she had no visa. One night, appellant told her to sleep in his room. Appellant touched her breasts, touched her vagina under her clothes with his fingers, and put her vagina in his mouth and licked it. The expert testimony established that the female sexual organ is "anything that's past the labia majora, which is the fatter outer lips that serve as a barrier." Consequently, if appellant's finger went past the labia majora and touched the vagina, it penetrated the victim's female sexual organ. After reviewing the entire record, we hold that the evidence is both legally and factually sufficient to support the jury's verdict. Appellant's second and third issues are overruled. In his fourth issue, appellant asserts that the evidence is factually insufficient to sustain a conviction for the lesser included offense of sexual assault. We need not address this issue. TEX.R.APP.P. 47.1. Appellant was not convicted of the lesser included offense of sexual assault; he was convicted of the greater offense of aggravated sexual assault. As discussed above, the evidence is sufficient to support appellant's conviction of the greater offense. The fourth issue is overruled. In his final issue, appellant contends that he did not receive effective assistance of counsel at trial because trial counsel failed to object to the admission of the forensic report. In order to determine whether appellant's trial counsel rendered ineffective assistance at trial, we must first determine whether appellant has shown that counsel's representation fell below an objective standard of reasonableness and, if so, then determine whether there is a reasonable probability that the result would have been different but for counsel's errors. Strickland v. Washington, 466 U.S. 668 (1984); Hernandez v. State, 988 S.W.2d 770 (Tex.Cr.App. 1999); Hernandez v. State, 726 S.W.2d 53, 55 (Tex.Cr.App. 1986). In order to assess counsel's performance, we must make every effort to eliminate the distorting effects of hindsight, to reconstruct the circumstances, and to evaluate the conduct from counsel's perspective at the time. We must indulge a strong presumption that counsel's conduct fell within the wide range of reasonable professional assistance; and appellant must overcome the presumption that, under the circumstances, the challenged action might be considered sound trial strategy. Stafford v. State, 813 S.W.2d 503, 508-09 (Tex.Cr.App. 1991). Appellant is not entitled to perfect or error-free counsel. Isolated instances of errors of omission or commission do not render counsel's performance ineffective; ineffective assistance of counsel cannot be established by isolating one portion of trial counsel's performance for examination. McFarland v. State, 845 S.W.2d 824 (Tex.Cr.App. 1992), cert. den'd, 508 U.S. 963 (1993). As noted in response to appellant's first issue, the forensic report was included within the victim's medical records that were admitted as State's Exhibit No. 1. Trial counsel stated that he had no objection to the introduction of the exhibit. During the sexual assault examination, the victim was quoted in the "history of assault" portion of the forensic report as stating:

It began when I was 8 ½ yo. First penetration at 13 yo. Each time it got worse and worse. He said he would take me from my mother if I told anyone. He said get used to it, everybody does it. He would come into my room almost every Sat morning. Last night was last time he touched me. He didn't penetrate me this time, I kicked him away.