In order to prevent double bookings in an Appointment field, you will need to connect at least one Google Calendar.
When the form is loaded, Paperform will check to see when the connected calendar is busy, and it will automatically grey out any unavailable times. When a new appointment is booked on your form, this will create a new event in the connected calendar as well, so double bookings will be prevented automatically.
To connect Google Calendar to your appointment field, first hover over the Appointment question in the form editor, then click the cogwheel icon to the right to configure it. Then, scroll down to "Calendar."
If you have added the calendar to a form before, it will appear in the dropdown menu here. To connect a new calendar, click the "+ Calendar" button to the right and follow the prompts to give Paperform access to it.