Skip to main contentSkip to main navigationSkip to footer content

Counseling Intake Form

Info Page Header Graphic

Counseling Services 

Our mission is to provide short-term, professional mental health counseling to address the academic, career, and personal development of all students. Our goal is to empower students to seek a well-balanced, healthy lifestyle with positive perspective and optimal coping skills to reach full potential.

Counseling at a Glance:  Let’s Talk About It

– Counseling sessions are by appointment only, unless a crisis situation develops.
– Counseling sessions are 50 minutes in length.
– Clients arriving 20 minutes or more after the scheduled appointment time may be asked to reschedule the appointment.
– Clients are asked to call to cancel an appointment at least two hours in advance.
– Client notes and related information will be kept securely on file in a locked file and in Titanium, a secure software platform. Counseling files are not a part of educational files.
– Counselor may tape sessions, with client permission, in order to transcribe accurate session notes at a later time and to clarify presenting issues.

Statement of Confidentiality

Counseling Services adheres to strict confidentially guidelines set by APA and ACA ethical standards. All conversations, both by telemental health and in person, shall be held in strict confidence. Also, all records kept by the counselor relating to the client and issues discussed by the client during counseling sessions, shall be held as confidential, except under the following conditions:
– When the counselor considers the client to be a threat to himself/herself, or to another individual or individuals;
– When the counselor regards the client as committing any type of physical or sexual abuse toward a child or elderly person;
– When documents are court ordered to be released to the property of the court;
– When a counselor deems it necessary to engage in professional consultation with another counselor regarding a particular client and/or case.

Refusal to Harm

The client agrees that he/she will not physically harm self or others. If the client believes to be a threat to himself/herself or others, for reasons beyond control, the client agrees to notify emergency personnel at 911, go to the nearest ER or consult a crisis line by phone or text.

Print and fill out this form: Counseling Intake Form

 
2026 SPARK Award recipients, event sponsor and President Heather Pence
Chattahoochee Tech Foundation Recognizes Alumni, Benefactors, and Industry Partners at 2026 SPARK Workforce Awards

April 29, 2026

The Chattahoochee Tech Foundation recognized outstanding contributors to student success and workforce development at the 2026 SPARK Workforce Awards reception, held April 28 at the college’s Marietta Campus. Sponsored this year by True Natural...

Chattahoochee Tech Foundation Recognizes Alumni, Benefactors, and Industry Partners at 2026 SPARK Workforce Awards
Dr. Anil Yadav, MD (far left) and students pursuing careers in the health care field who received the scholarship that he sponsors.
Chattahoochee Technical College Honors Scholarship Recipients at Annual Reception

April 27, 2026

Chattahoochee Technical College celebrated the achievements of its 2026 scholarship recipients during a special Scholarship Awards Reception held Wednesday, April 17, at the college’s North Metro Campus. The event brought together students, donors,...

Chattahoochee Technical College Honors Scholarship Recipients at Annual Reception
Representatives from Chattahoochee Tech and Cobb County Police Department at agreement signing meeting.
Chattahoochee Technical College and Cobb County Police Department Create Seamless Pathway From College to Career in Law Enforcement

April 23, 2026

Chattahoochee Technical College and the Cobb County Police Department (CCPD) have launched a new partnership that creates a direct, supportive pathway from college coursework to a full‑time career in public safety. Through this agreement, students...

Chattahoochee Technical College and Cobb County Police Department Create Seamless Pathway From College to Career in Law Enforcement

 

Microphone

Georgia Match

Welcome, Georgia High School Seniors

Congratulations on your eligibility for admission into Chattahoochee Tech!

Learn More about Georgia Match