Name *

First Name

Last Name

Phone number*

*Please note that I will never call you without your consent, and that you will only receive a call from me if we have scheduled a phone consultation together via email

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Offerings I'm interested in: *

Individual therapy

Consultation (for therapists working with ND clients)

Insurance & Medicaid Acknowledgment *

I understand that Lily Duffy, LCSW does not accept any form of insurance. I also understand that Lily is not a Medicaid provider and is therefore unable to work with clients insured by Medicaid—even if they are willing to pay for therapy out of pocket—due to Colorado state law.

Email List Opt-In

Yes, please add me to your email list so I can be kept up to date on new offerings! I understand that I can opt out at any time.