Three audiences, three forms — not one blended contact page.
At minimum, three separate forms: a family inquiry form, a professional referral form, and a caregiver application form. Each has a different visitor, a different urgency, and a different next step — collapsing them into one generic "contact us" form makes all three worse.
A single blended form forces a compromise that serves none of the three well, and makes it harder to route each one to the right person automatically.
Only what's needed to take the next step — not more. A family inquiry needs contact information and a brief description of the situation, not clinical details. A referral form needs the referral source's information and the basics of the request. A caregiver application needs qualifications and availability. Collecting more than that at the intake stage adds friction and risk without adding value — see GHL & CRM Automation for how CDMworld approaches this generally, including guidance on not over-collecting sensitive information at first contact.
The Wonderful Blessed Care site keeps these three funnels fully separate, with an explicit note on the contact form that confidential medical information shouldn't be submitted through it — a secure method is provided separately once contact is established.