Toll Free: 1-833-404-9526 Local: 480-203-2660
Toll Free: 1-833-404-9526 Local: 480-203-2660
Notice of Privacy Practices
Dezerve Counseling, LLC — Behavioral Health IOP & Peer Support Services
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Dezerve Counseling, LLC (referred to in this Notice as “we,” “us,” or “our”) provides Intensive Outpatient Program (IOP) services and Peer Support in Arizona. We are committed to protecting the privacy of your personal health information (“PHI”). This Notice explains your rights and our legal duties regarding your PHI under the Health Insurance Portability and Accountability Act (HIPAA) and applicable Arizona law.
Our Responsibilities
We are required by law to:
· Maintain the privacy and security of your PHI.
· Provide you with this Notice of our legal duties and privacy practices.
· Notify you in the event of a breach of your unsecured PHI.
· Follow the terms of this Notice while it is in effect.
How We May Use or Disclose Your Health Information
We use and disclose your PHI for treatment, payment, and healthcare operations, and as otherwise permitted or required by law. Examples include:
· Treatment: To provide, coordinate, or manage your IOP and Peer Support services, communicate with other treating providers, and make referrals.
· Payment: To bill and collect payment from you, your insurance, or another party.
· Healthcare Operations: For quality assessment, staff training, business planning, and improving our services.
· Business Associates: We may share PHI with third parties who perform services on our behalf (such as billing, IT, or transcription) under strict confidentiality agreements.
· As Required by Law: Including reporting to public health authorities, responding to court orders, or preventing serious threats to health or safety.
· With Your Authorization: For any purpose not described above, we will obtain your written authorization, which you may revoke at any time.
Your Rights Regarding Your PHI
You have the right to:
· Access your records, with limited exceptions.
· Request amendments to your PHI if you believe it is incorrect or incomplete.
· Receive an accounting of certain disclosures made in the past six years.
· Request restrictions on certain uses and disclosures; we will comply when required by law.
· Request confidential communications (e.g., by alternate means or at an alternate address).
· Receive a paper copy of this Notice upon request.
How to Exercise Your Rights or File a Complaint
To make requests regarding your PHI, or if you believe your privacy rights have been violated, you may contact:
Dezerve Counseling, LLC
Attn: Privacy Officer / Darfetta Muhammad (Administrator)
4433 N. 19th Ave, Suite 203
Phoenix, AZ 85015
Phone: 480-203-2660 or 480-231-7812
Email: dezerve@dezerve.info
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to update this Notice. Any changes will apply to all PHI we maintain. The current Notice is posted at our facility and available upon request.
Non‑Discrimination Statement
Dezerve Counseling, LLC complies with federal civil rights laws and does not discriminate on the basis of race, color, national origin, sex, age, or disability. We provide free language assistance and disability accommodations upon request.
For assistance, contact us at 480-203-2660.
Dezerve Counseling, LLC Behavioral Health IOP
Email: dezerve@dezerve.info
Phone: 480-203-2660 | Toll-Free: 1-833-404-9526
Copyright © 2025 Dezerve Counseling, LLC (IOP) - All Rights Reserved.
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