Personal Data Collection for Health Insurance

I'm seeking assistance in designing an online form to gather personal information from newcomers to Switzerland who are seeking health insurance, a necessity must in this country. The form should be user-friendly and efficient, collecting the following data: - Name and address and telephone number. The identity of the users does not need to be authenticated via email or phone verification, allowing for a seamless and straightforward data collection process. The ideal freelancer for this project will have experience in form creation and data collection, with a good understanding of user experience design.