Coachella Valley Visually Impaired Community Services

Client Registration Form

If you have been diagnosed with low vision or a form of vision impairment, then CVVICS can and will assist. Please download and fill out the form below. Once completed, you can email the form to You can also print the form and send by mail to:

c/o Barbara Foyil
73411 Dalea Lane
Palm Desert, CA 92260

Download the Client Registration Form