.IntakeHero-module__FFd7tq__hero{background:var(--background-dark);color:var(--text-inverse);text-align:center;padding:72px 0 64px}.IntakeHero-module__FFd7tq__title{font-family:var(--font-heading);text-transform:uppercase;margin:0 0 16px;font-size:3.5rem;font-weight:700;line-height:1}.IntakeHero-module__FFd7tq__title span{color:var(--text-accent);font-style:italic;font-weight:600}.IntakeHero-module__FFd7tq__text{max-width:720px;color:var(--color-grey-light);margin:0 auto}.IntakeHero-module__FFd7tq__note{border:1px solid var(--color-gold-dark);max-width:720px;color:var(--color-cream);border-radius:4px;margin:24px auto 0;padding:12px 20px;font-size:.875rem}.IntakeHero-module__FFd7tq__req{color:var(--color-gold-light)}@media (max-width:750px){.IntakeHero-module__FFd7tq__hero{padding:44px 0 36px}.IntakeHero-module__FFd7tq__title{font-size:1.875rem}}
.PatientIntakeForm-module__G_YGBG__section{--intake-line:#d7dae2;--intake-placeholder:#6b6b6b;--intake-gold-strong:var(--color-gold-dark);--intake-error-bg:#fdf3f2;--weight-semibold:600;--radius:4px;padding:56px 0 88px}.PatientIntakeForm-module__G_YGBG__container{--container-max:1040px}.PatientIntakeForm-module__G_YGBG__stepper{gap:4px;margin-bottom:12px;display:flex}.PatientIntakeForm-module__G_YGBG__stepperItem{text-align:left;cursor:default;background:0 0;border:0;flex:1 1 0;min-width:0;padding:0;display:block}.PatientIntakeForm-module__G_YGBG__stepperItem[data-reachable=true]{cursor:pointer}.PatientIntakeForm-module__G_YGBG__stepperBar{background:var(--intake-line);border-radius:2px;height:4px;transition:background-color .3s;display:block}.PatientIntakeForm-module__G_YGBG__stepperItem[data-state=done] .PatientIntakeForm-module__G_YGBG__stepperBar{background:var(--color-gold-dark)}.PatientIntakeForm-module__G_YGBG__stepperItem[data-state=current] .PatientIntakeForm-module__G_YGBG__stepperBar{background:var(--color-gold)}.PatientIntakeForm-module__G_YGBG__stepMeta{color:var(--text-secondary);justify-content:space-between;align-items:baseline;gap:16px;margin-bottom:32px;font-size:.8125rem;display:flex}.PatientIntakeForm-module__G_YGBG__stepMetaTitle{font-weight:var(--weight-semibold);letter-spacing:.04em;color:var(--text-primary);text-transform:uppercase}.PatientIntakeForm-module__G_YGBG__step{border:0;min-width:0;margin:0;padding:0;animation:.35s both PatientIntakeForm-module__G_YGBG__stepIn}@keyframes PatientIntakeForm-module__G_YGBG__stepIn{0%{opacity:0;transform:translateY(8px)}to{opacity:1;transform:none}}.PatientIntakeForm-module__G_YGBG__stepHead{margin-bottom:32px}.PatientIntakeForm-module__G_YGBG__stepTitle{border-bottom:1px solid var(--color-gold-dark);text-transform:uppercase;margin:0;padding:0 0 12px;font-size:1.75rem;font-weight:700;line-height:1.2}.PatientIntakeForm-module__G_YGBG__stepTitle span{color:var(--intake-gold-strong);font-style:italic;font-weight:var(--weight-semibold)}.PatientIntakeForm-module__G_YGBG__stepText{color:var(--text-secondary);margin:12px 0 0;font-size:.9375rem}.PatientIntakeForm-module__G_YGBG__subhead{font-size:1.0625rem;font-weight:var(--weight-semibold);text-transform:uppercase;letter-spacing:.02em;margin:0 0 16px}.PatientIntakeForm-module__G_YGBG__note{color:var(--text-secondary);margin:-4px 0 24px;font-size:.9375rem}.PatientIntakeForm-module__G_YGBG__divider{border:0;border-top:1px solid var(--border);margin:36px 0 28px}.PatientIntakeForm-module__G_YGBG__row{flex-wrap:wrap;gap:20px;margin-bottom:24px;display:flex}.PatientIntakeForm-module__G_YGBG__row>*{flex:220px;min-width:0}.PatientIntakeForm-module__G_YGBG__rowTight>*{flex:130px}.PatientIntakeForm-module__G_YGBG__columns{grid-template-columns:repeat(2,minmax(0,1fr));align-items:start;gap:20px 24px;margin-bottom:24px;display:grid}.PatientIntakeForm-module__G_YGBG__column{flex-direction:column;gap:14px;min-width:0;display:flex}.PatientIntakeForm-module__G_YGBG__list{flex-direction:column;gap:20px;margin-bottom:24px;display:flex}.PatientIntakeForm-module__G_YGBG__stack{flex-direction:column;gap:14px;min-width:0;display:flex}.PatientIntakeForm-module__G_YGBG__column>*,.PatientIntakeForm-module__G_YGBG__list>*,.PatientIntakeForm-module__G_YGBG__stack>*{margin:0}.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__columns,.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__group,.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__options,.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__matrix,.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__review,.PatientIntakeForm-module__G_YGBG__step>.PatientIntakeForm-module__G_YGBG__consent{margin-bottom:24px}.PatientIntakeForm-module__G_YGBG__step>:last-child{margin-bottom:0}.PatientIntakeForm-module__G_YGBG__field{flex-direction:column;gap:6px;min-width:0;display:flex}.PatientIntakeForm-module__G_YGBG__fieldNarrow .PatientIntakeForm-module__G_YGBG__control{max-width:320px}.PatientIntakeForm-module__G_YGBG__row>.PatientIntakeForm-module__G_YGBG__fieldGrow{flex:2 460px}.PatientIntakeForm-module__G_YGBG__label,.PatientIntakeForm-module__G_YGBG__legend{color:var(--text-primary);font-size:.9375rem;font-weight:var(--weight-semibold);text-transform:uppercase;padding:0;line-height:1.3;display:block}.PatientIntakeForm-module__G_YGBG__hint{color:var(--text-secondary);text-transform:none;margin-top:2px;font-size:.8125rem;font-weight:400;display:block}.PatientIntakeForm-module__G_YGBG__req{color:var(--intake-gold-strong)}.PatientIntakeForm-module__G_YGBG__control{border:1px solid var(--color-gold-dark);border-radius:var(--radius);background-color:var(--surface);width:100%;min-width:0;max-width:100%;height:48px;color:var(--text-primary);font:inherit;padding:0 16px;transition:border-color .3s,box-shadow .3s}.PatientIntakeForm-module__G_YGBG__control::placeholder{color:var(--intake-placeholder)}.PatientIntakeForm-module__G_YGBG__control:focus{border-color:var(--color-gold);outline:none;box-shadow:0 0 0 3px #a083412e}.PatientIntakeForm-module__G_YGBG__controlInvalid{border-color:var(--color-error);background:var(--intake-error-bg)}.PatientIntakeForm-module__G_YGBG__controlSm{height:40px}.PatientIntakeForm-module__G_YGBG__textarea{resize:vertical;height:84px;padding:14px 16px}.PatientIntakeForm-module__G_YGBG__select{appearance:none;cursor:pointer;background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='12' height='8' viewBox='0 0 12 8'%3E%3Cpath d='M1 1l5 5 5-5' fill='none' stroke='%23816934' stroke-width='1.6' stroke-linecap='round'/%3E%3C/svg%3E");background-position:right 16px center;background-repeat:no-repeat;padding-right:44px}.PatientIntakeForm-module__G_YGBG__signature{font-family:Georgia,Times New Roman,serif;font-size:1.125rem;font-style:italic}.PatientIntakeForm-module__G_YGBG__control[type=date]{appearance:none;text-align:left;min-width:0;max-width:100%}.PatientIntakeForm-module__G_YGBG__control[type=date]::-webkit-date-and-time-value{text-align:left;margin:0}.PatientIntakeForm-module__G_YGBG__control[type=date]::-webkit-calendar-picker-indicator{margin-left:auto}.PatientIntakeForm-module__G_YGBG__error{color:var(--text-error);font-size:.8125rem}.PatientIntakeForm-module__G_YGBG__group{border:0;min-width:0;margin:0;padding:0;display:block}.PatientIntakeForm-module__G_YGBG__group>.PatientIntakeForm-module__G_YGBG__legend{margin-bottom:10px}.PatientIntakeForm-module__G_YGBG__options{flex-wrap:wrap;gap:10px;display:flex}.PatientIntakeForm-module__G_YGBG__optionsInline .PatientIntakeForm-module__G_YGBG__option{min-width:120px}.PatientIntakeForm-module__G_YGBG__optionsGrid{grid-template-columns:repeat(auto-fill,minmax(230px,1fr));gap:10px;display:grid}.PatientIntakeForm-module__G_YGBG__optionsStack{flex-direction:column}.PatientIntakeForm-module__G_YGBG__option{border:1px solid var(--intake-line);border-radius:var(--radius);background:var(--surface);cursor:pointer;align-items:flex-start;gap:10px;padding:12px 16px;font-size:.9375rem;line-height:1.35;transition:border-color .2s,background-color .2s;display:flex}.PatientIntakeForm-module__G_YGBG__option:hover{border-color:var(--color-gold-light)}.PatientIntakeForm-module__G_YGBG__option input{width:18px;height:18px;accent-color:var(--color-gold-dark);cursor:pointer;flex:none;margin:1px 0 0}.PatientIntakeForm-module__G_YGBG__option:has(input:checked){border-color:var(--color-gold);background:var(--color-white);box-shadow:inset 0 0 0 1px var(--color-gold)}.PatientIntakeForm-module__G_YGBG__option input:focus-visible{outline:2px solid var(--color-gold);outline-offset:2px}.PatientIntakeForm-module__G_YGBG__groupInvalid .PatientIntakeForm-module__G_YGBG__option{border-color:var(--color-error)}.PatientIntakeForm-module__G_YGBG__optionSm{background:var(--color-white);min-width:78px;padding:6px 14px;font-size:.875rem}.PatientIntakeForm-module__G_YGBG__matrix{border:1px solid var(--border);border-radius:var(--radius);overflow:hidden}.PatientIntakeForm-module__G_YGBG__matrixRow{border-bottom:1px solid var(--border);grid-template-columns:minmax(0,1.15fr) auto minmax(0,1fr);align-items:center;gap:10px 16px;padding:10px 16px;display:grid}.PatientIntakeForm-module__G_YGBG__matrixRow:last-child{border-bottom:0}.PatientIntakeForm-module__G_YGBG__matrixRow:nth-child(odd){background:var(--surface)}.PatientIntakeForm-module__G_YGBG__matrixLabel{font-size:.9375rem;font-weight:var(--weight-semibold);line-height:1.3}.PatientIntakeForm-module__G_YGBG__matrixAnswer{flex-wrap:nowrap}.PatientIntakeForm-module__G_YGBG__consent{border:1px solid var(--border);border-left:3px solid var(--color-gold-dark);border-radius:var(--radius);background:var(--surface);margin-bottom:24px;padding:24px 28px}.PatientIntakeForm-module__G_YGBG__consentTitle{text-transform:uppercase;margin:0 0 12px;font-size:1.125rem;font-weight:700}.PatientIntakeForm-module__G_YGBG__consent p{color:var(--text-secondary);margin:0 0 12px;font-size:.9375rem}.PatientIntakeForm-module__G_YGBG__consent p:last-child{margin-bottom:0}.PatientIntakeForm-module__G_YGBG__consent strong{color:var(--text-primary)}.PatientIntakeForm-module__G_YGBG__notice{border:1px solid var(--color-error);border-radius:var(--radius);background:var(--intake-error-bg);color:var(--text-error);font-size:.875rem;font-weight:var(--weight-semibold);text-align:center;margin:0 0 24px;padding:12px 16px}.PatientIntakeForm-module__G_YGBG__review{border:1px solid var(--border);border-radius:var(--radius);overflow:hidden}.PatientIntakeForm-module__G_YGBG__reviewRow{border-bottom:1px solid var(--border);flex-wrap:wrap;gap:4px 24px;padding:12px 16px;font-size:.875rem;display:flex}.PatientIntakeForm-module__G_YGBG__reviewRow:last-child{border-bottom:0}.PatientIntakeForm-module__G_YGBG__reviewRow:nth-child(odd){background:var(--surface)}.PatientIntakeForm-module__G_YGBG__reviewKey{font-weight:var(--weight-semibold);text-transform:uppercase;letter-spacing:.04em;color:var(--text-secondary);flex:320px;font-size:.8125rem}.PatientIntakeForm-module__G_YGBG__reviewVal{color:var(--text-primary);flex:240px}.PatientIntakeForm-module__G_YGBG__formError{border-left:3px solid var(--color-error);background:var(--intake-error-bg);color:var(--text-error);margin:24px 0 0;padding:12px 16px;font-size:.875rem}.PatientIntakeForm-module__G_YGBG__formNav{border-top:1px solid var(--border);justify-content:space-between;align-items:center;gap:16px;margin-top:40px;padding-top:24px;display:flex}.PatientIntakeForm-module__G_YGBG__formNavSpacer{flex:auto}.PatientIntakeForm-module__G_YGBG__savedHint{color:var(--text-secondary);text-align:right;margin-top:16px;font-size:.8125rem}.PatientIntakeForm-module__G_YGBG__linkButton{color:inherit;font:inherit;cursor:pointer;background:0 0;border:0;padding:0;text-decoration:underline}.PatientIntakeForm-module__G_YGBG__success{text-align:center;border:1px solid var(--color-gold-dark);border-radius:var(--radius);background:var(--surface);padding:56px 32px}.PatientIntakeForm-module__G_YGBG__successTitle{text-transform:uppercase;margin:0 0 12px;font-size:2rem;font-weight:700}.PatientIntakeForm-module__G_YGBG__successTitle span{color:var(--intake-gold-strong);font-style:italic}.PatientIntakeForm-module__G_YGBG__success p{max-width:520px;color:var(--text-secondary);margin:0 auto 24px}@media (max-width:750px){.PatientIntakeForm-module__G_YGBG__section{padding:32px 0 56px}.PatientIntakeForm-module__G_YGBG__stepTitle{font-size:1.375rem}.PatientIntakeForm-module__G_YGBG__row{gap:16px;margin-bottom:16px}.PatientIntakeForm-module__G_YGBG__row>*,.PatientIntakeForm-module__G_YGBG__row>.PatientIntakeForm-module__G_YGBG__fieldGrow{flex:100%}.PatientIntakeForm-module__G_YGBG__optionsGrid{grid-template-columns:1fr}.PatientIntakeForm-module__G_YGBG__columns{grid-template-columns:1fr;gap:16px}.PatientIntakeForm-module__G_YGBG__matrixRow{grid-template-columns:1fr;padding:14px 16px}.PatientIntakeForm-module__G_YGBG__matrixAnswer{flex-wrap:wrap}.PatientIntakeForm-module__G_YGBG__formNav{flex-wrap:wrap;justify-content:center}.PatientIntakeForm-module__G_YGBG__formNavSpacer{display:none}.PatientIntakeForm-module__G_YGBG__formNav>*{flex:140px}.PatientIntakeForm-module__G_YGBG__savedHint,.PatientIntakeForm-module__G_YGBG__formError{text-align:center}.PatientIntakeForm-module__G_YGBG__stepMeta{flex-direction:column;gap:4px}}