Jane C. Hickerson, Phd., LCSW

Coaching & Counseling
Individuals, Couples & Families

Call: 817-313-1040

Client Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


How We Can Help

• Do you need a Coach?
• Do you feel held back in life?
• Do you know how to meet challenges?
• Do you need help solving problems?


Jane C. Hickerson
Phd., LCSW

Member of
Jane C. Hickerson, PhD., LCSW is a member of International Coach Federation
International Coach Federation

1615 W. Abram,
Suite. 200-H
Arlington, TX 76013
Phone:  817.313.1040

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