I have the same issue. I have white listed the email address in website and reported not spam. But still he same problem.
https://www.siliconvalleymedicalclinic.com/make-appointment/
CAPCHA Error Message at these links in main site, will not allow submitting booking request. Tried making a new page; same error again.
https://www.siliconvalleymedicalclinic.com/make-appointment/
https://www.siliconvalleymedicalclinic.com/booking-form/
At this link in another sub-directory is working fine, with same plugins and set up. This might help isolating issue.
https://www.siliconvalleymedicalclinic.com/cosmetic/contact/
Captcha loads but keeps on coming back with error message, Incorrect Captcha. If the option to use Captcha “No” the booking appointment request work. It seems, it may have broken after the update.