Payment Privacy & Security

Online Payment Privacy, Security, and Refund Policy
Effective Date: August 5, 2026
Last Updated: August 5, 2026
Online Payment Notice
New Hope Behavioral Health Center, Inc. (“NHBHC,” “we,” “us,” or “our”) provides this online payment option as a convenience for patients, responsible parties, and other individuals authorized to make payments on a patient’s account.
The current online payment link identifies New Hope Behavioral Health Center, Inc., the Arizona entity. If you are making a payment for services received in Michigan through Two Brave Vikings LLC DBA New Hope Behavioral Health Center, please contact the Michigan location or call NHBHC at (480) 981-1022 before submitting payment unless you were specifically directed to use this payment link.
Payment Processing Through Stripe
Online payments are processed through a Stripe-hosted payment page. Stripe is an independent third-party payment processor and is certified as a Payment Card Industry Data Security Standard (“PCI DSS”) Level 1 service provider.
Your complete payment-card number and card security code are submitted directly to Stripe. When you use the Stripe-hosted payment page, NHBHC does not receive or store your complete card number or card security code.
NHBHC may receive transaction-related information from Stripe, including:

The payer’s name and contact information;
The payment amount and date;
The payment status;
A transaction or confirmation number;
The type of payment method used;
The last four digits and expiration date of the payment card;
Billing contact information; and
Information provided to identify the patient account to which the payment should be applied.

Although NHBHC and Stripe use reasonable administrative, technical, and physical safeguards, no electronic payment or information-transmission system can be guaranteed to be completely secure.
Stripe collects and processes payment information under its own privacy practices. Please review Stripe’s Privacy Policy before submitting payment:
Stripe Privacy Policy:
https://stripe.com/privacy
Privacy and Confidentiality
NHBHC respects the privacy and confidentiality of patient and payment information. Information received in connection with an online payment may be used or disclosed as reasonably necessary to:

Process, document, post, and reconcile the payment;
Apply the payment to the correct patient account;
Maintain billing, accounting, and financial records;
Respond to billing questions, refund requests, payment disputes, or chargebacks;
Prevent or investigate fraudulent or unauthorized transactions;
Coordinate insurance payments and patient-responsibility balances;
Conduct authorized accounting, auditing, and compliance activities; and
Comply with applicable legal, regulatory, contractual, and record-retention requirements.

When applicable, NHBHC handles protected health information in accordance with the Health Insurance Portability and Accountability Act (“HIPAA”), 42 CFR Part 2, and other applicable federal and state privacy requirements.
This Online Payment Privacy, Security, and Refund Policy supplements and does not replace NHBHC’s Notice of Privacy Practices. Submitting a payment does not constitute a HIPAA authorization or a 42 CFR Part 2 consent for uses or disclosures that are not otherwise permitted or required by law.
Copies of NHBHC’s Notice of Privacy Practices are available at the clinic or by contacting the NHBHC Privacy Officer.
Additional information about patient privacy rights is available from the U.S. Department of Health and Human Services:
HIPAA Notice of Privacy Practices Information:
https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html
42 CFR Part 2 — Confidentiality of Substance Use Disorder Patient Records:
https://www.hhs.gov/hipaa/part-2/index.html
Information You Should Not Enter
Please provide only the information requested to identify the patient account and process the payment.
Do not enter any of the following information in a payment description, memo, optional field, or other open-text field:

A diagnosis or health condition;
Information about substance use disorder treatment;
Medication names or dosing information;
Counseling or treatment notes;
The reason for a visit;
A counselor’s or medical provider’s name;
Copies of medical records;
A Social Security number; or
Any other clinical or highly sensitive information.

Information Needed to Apply Your Payment
To apply an online payment to the correct account, NHBHC requires the patient’s full legal name and the email address associated with the patient’s account. Enter this information in Stripe’s Contact Information section.
The Cardholder Name field must contain the name of the person whose payment card is being used. The cardholder may be different from the patient.
Do not enter the patient’s clinic ID, diagnosis, medications, reason for treatment, treatment dates, counselor or provider name, or other clinical information in Stripe.

If additional information is needed to apply your payment correctly, contact NHBHC at (480) 981-1022 and ask to be transferred to the Billing Department.
Authorization to Make a Payment
By submitting an online payment, you represent and confirm that:

The information you provide is accurate and complete;
You are the account holder or are authorized by the account holder to use the selected payment method;
You authorize NHBHC and Stripe to process the payment in the amount submitted;
You understand that your financial institution may approve, decline, or delay the transaction;
You understand that the payment is not complete until the transaction has been successfully processed; and
You acknowledge and accept this Online Payment Privacy, Security, and Refund Policy.

A one-time online payment does not authorize NHBHC to initiate future or recurring charges. Recurring charges will not be processed unless you separately and expressly authorize a recurring-payment arrangement.
Patient Account and Insurance Adjustments
The amount paid online may not reflect pending insurance claims, insurance adjustments, prior payments, payment plans, financial-assistance determinations, or other account activity.
Making an online payment does not:

Guarantee insurance coverage or reimbursement;
Establish the final amount owed;
Confirm an appointment, admission, or enrollment;
Replace an applicable treatment or financial-responsibility agreement; or
Alter an existing payment-plan requirement.

Patients remain responsible for applicable copayments, coinsurance, deductibles, non-covered services, and other patient-responsibility amounts assigned under their insurance plan or financial agreement.
If you believe the amount owed is incorrect, contact NHBHC at (480) 981-1022 and ask to be transferred to the Billing Department before submitting payment.
Refund and Payment Dispute Policy
This refund policy is based on NHBHC Administration Article 5 — Clinic Fees, Payments, and Collections.
Refunds for private-pay or self-pay payments are considered on a case-by-case basis. A patient must make special arrangements with the NHBHC Administrator or Alternate Administrator to be eligible for consideration of a refund.
When a refund is approved, NHBHC will process the refund and mail a check to the patient within seven working days. Refund eligibility may also be affected by the terms of the patient’s signed financial agreement.
If NHBHC determines that a patient has insurance that NHBHC can bill and collect payment from, the patient may be refunded the amount initially paid after NHBHC receives and posts the applicable payment from the insurance company.
A refund may also be considered when:

A duplicate payment was made;
An overpayment occurred;
A payment was applied to the wrong patient account;
An insurance adjustment changed the patient-responsibility amount;
A billing or payment-processing error occurred; or
A refund is otherwise required by law or approved by NHBHC administration.

Patients may request an itemized statement of charges at any time.
A patient who wishes to dispute a fee must submit a written request to the Administrator/Director. NHBHC will review the dispute and provide a decision within 10 business days. The request, review, and resolution will be documented in accordance with NHBHC policy.
Refund or payment-dispute requests may be submitted by:
Email: billing@nhbhc.net
Phone: (480) 981-1022 — ask for the Billing Department
Mail: New Hope Behavioral Health Center, Inc., 215 S Power Rd, Ste 114, Mesa, AZ 85206
A refund request does not automatically eliminate an outstanding financial obligation or cancel an appointment. Appointment changes or cancellations must be made directly with NHBHC by calling (480) 981-1022.
Card and Bank Statements
The description displayed on a card or bank statement is determined by the merchant descriptor associated with NHBHC’s Stripe account and may be abbreviated, reformatted, or otherwise displayed differently by the patient’s financial institution.
If you do not recognize a charge or believe that a payment was processed incorrectly, call NHBHC at (480) 981-1022 and ask to be transferred to the Billing Department.
Payment Receipts and Communications
If you provide an email address or telephone number, NHBHC or Stripe may use it to send a payment confirmation, receipt, failed-payment notice, refund notice, or communication necessary to resolve the transaction.
Email and text messages may not be completely secure. NHBHC will limit payment communications to the information reasonably necessary to address the transaction.
Record Retention
NHBHC and Stripe may retain payment and transaction information for the periods necessary to process and document the transaction, maintain healthcare and accounting records, respond to disputes, prevent fraud, comply with legal obligations, and satisfy applicable record-retention requirements.
Contact Information
Billing Questions, Refunds, or Account Balances
New Hope Behavioral Health Center, Inc.
Main Telephone: (480) 981-1022 — ask to be transferred to the Billing Department
Billing Email: billing@nhbhc.net
Mailing Address: 215 S Power Rd, Ste 114, Mesa, AZ 85206
Business Hours: Monday through Friday, 7:00 a.m. to 3:00 p.m.
Privacy Questions or Patient Privacy Rights
ATTN: Privacy Officer
New Hope Behavioral Health Center, Inc.
Main Telephone: (480) 981-1022 — ask to be transferred to the Privacy Officer
Email: information@nhbhc.net
Mailing Address: 215 S Power Rd, Ste 114, Mesa, AZ 85206
Business Hours: Monday through Friday, 7:00 a.m. to 3:00 p.m.
Please do not include diagnoses, medications, treatment information, or other clinical details in an unsecured email.
Changes to This Policy
NHBHC may update this policy periodically. The effective date and last-updated date will appear at the top of the page. Changes will apply prospectively unless otherwise required by law.
Payment Acknowledgment
By proceeding to Stripe and submitting a payment, you confirm that you are authorized to use the selected payment method, authorize the payment amount submitted, and acknowledge that you have reviewed and accepted this Online Payment Privacy, Security, and Refund Policy.