Not sure if all you need is to get first name, here is the WIldCard expression to get first name
SELECT LEFT(WEBFORM_NAME,CHARINDEX(' ',WEBFORM_NAME)-1) AS FirstName1,
SUBSTRING(PATIENT_NAME,CHARINDEX(',',PATIENT_NAME)+1,(CHARINDEX(' ',PATIENT_NAME)-CHARINDEX(',',PATIENT_NAME))) AS FirstName2
FROM yourTable
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