Applications and Forms

Interested in Peer Support Services? Take the First Step.

Our Arizona peer support program offers free, confidential guidance from someone who understands your journey. Your path to positive change starts here.Apply Now

To apply for services or for general questions, please contact:

Wanda Chapman & Support Staff

azpeersupport@dezerve.info

Program Application

Partner With Us to Transform Care

We unite with healthcare providers, probation/parole departments, and community organizations. Let's build a stronger safety net—together.

To apply for partnership, click the button below or contact Darfetta Muhammad, Program Director, at azpartnership@dezerve.info.

Partnership Interest Form

Agency Client Referral Form

Our program accepts referrals from clinics, probation departments, community organizations, and other partners.

To refer a client:

• Use our official Referral Form, or

• Email Darfetta Muhammad, Program Director, at azreferral@dezerve.info

Complete Form

Apply to Become a Specialist!

We're seeking people with lived experience with gambling challenges to join our Peer Support Team. If you're ready to support others on their path, your application starts here.

Apply Now

Dezerve Counseling LLC IOP | Phoenix, AZ

Applications and Forms

Interested in Peer Support Services? Take the First Step.

Partner With Us to Transform Care

Agency Client Referral Form

Apply to Become a Specialist!

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