EnneagramAtlanta                                                               

Nan Henson, Enneagram Coach

6100 Lake Forrest Dr. NE, Suite 450 Atlanta, GA 30328 /(404) 931-6321

nan@EnneagramAtlanta.com http://www.enneagramatlanta.com/

*So that I can better utilize our time, please fill out this form and submit to me before our first appointment. 

Name *
Name
Phone *
Phone
Address *
Address
Work
Home/Family
Relationships
Parenting
Self-Knowledge
Spiritual
School
Career Direction
Other
Referring Professional Phone #
Referring Professional Phone #
*Please note that I am not a trained Therapist, and what I do is not therapy. However, many people find this Work amazingly therapeutic. I have received and agree to the terms of practice put forth by Nan Henson, Enneagram Coach. I acknowledge that I have been offered a copy of all forms. Furthermore, I may request a copy to retain for my files. *
Date *
Date

 

Fees & Consent for Coaching

Please read this information carefully and discuss any questions you may have with Nan Henson. Please keep one copy for yourself and sign one to acknowledge you have read and understand this consent.

FEES:

 Individual Sessions $90

       (1 hour) in depth discussion and understanding of your specific Type–  in office, or by phone, Skype, or FaceTime

 Package Sessions $320 – package of 4 (1 hr.) Sessions (save $40)

 Couples & Pre-Marital Consultations $175
       (2 hour) in-depth Session to discover your individual Types as well as how you relate to each other.

 

PAYMENT: It is expected that you pay for your services at the time of the visit. In addition to checks and cash, all major credit cards are accepted: Visa, MasterCard, Discover, and American Express.

CONFIDENTIALITY: Communication with your Enneagram Coach will be held in confidence and will not be revealed without your written consent.