.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}}
.rdp-root{--rdp-accent-color:blue;--rdp-accent-background-color:#f0f0ff;--rdp-day-height:44px;--rdp-day-width:44px;--rdp-day_button-border-radius:100%;--rdp-day_button-border:2px solid transparent;--rdp-day_button-height:42px;--rdp-day_button-width:42px;--rdp-selected-border:2px solid var(--rdp-accent-color);--rdp-disabled-opacity:.5;--rdp-outside-opacity:.75;--rdp-today-color:var(--rdp-accent-color);--rdp-dropdown-gap:.5rem;--rdp-months-gap:2rem;--rdp-nav_button-disabled-opacity:.5;--rdp-nav_button-height:2.25rem;--rdp-nav_button-width:2.25rem;--rdp-nav-height:2.75rem;--rdp-range_middle-background-color:var(--rdp-accent-background-color);--rdp-range_middle-color:inherit;--rdp-range_start-color:white;--rdp-range_start-background:linear-gradient(var(--rdp-gradient-direction), transparent 50%, var(--rdp-range_middle-background-color) 50%);--rdp-range_start-date-background-color:var(--rdp-accent-color);--rdp-range_end-background:linear-gradient(var(--rdp-gradient-direction), var(--rdp-range_middle-background-color) 50%, transparent 50%);--rdp-range_end-color:white;--rdp-range_end-date-background-color:var(--rdp-accent-color);--rdp-week_number-border-radius:100%;--rdp-week_number-border:2px solid transparent;--rdp-week_number-height:var(--rdp-day-height);--rdp-week_number-opacity:.75;--rdp-week_number-width:var(--rdp-day-width);--rdp-weeknumber-text-align:center;--rdp-weekday-opacity:.75;--rdp-weekday-padding:.5rem 0rem;--rdp-weekday-text-align:center;--rdp-gradient-direction:90deg;--rdp-animation_duration:.3s;--rdp-animation_timing:cubic-bezier(.4, 0, .2, 1)}.rdp-root[dir=rtl]{--rdp-gradient-direction:-90deg}.rdp-root[data-broadcast-calendar=true]{--rdp-outside-opacity:unset}.rdp-root{box-sizing:border-box;position:relative}.rdp-root *{box-sizing:border-box}.rdp-day{width:var(--rdp-day-width);height:var(--rdp-day-height);text-align:center}.rdp-day_button{cursor:pointer;font:inherit;color:inherit;width:var(--rdp-day_button-width);height:var(--rdp-day_button-height);border:var(--rdp-day_button-border);border-radius:var(--rdp-day_button-border-radius);background:0 0;justify-content:center;align-items:center;margin:0;padding:0;display:flex}.rdp-day_button:disabled{cursor:revert}.rdp-caption_label{z-index:1;white-space:nowrap;border:0;align-items:center;display:inline-flex;position:relative}.rdp-dropdown:focus-visible~.rdp-caption_label{outline:5px auto highlight;outline:5px auto -webkit-focus-ring-color}.rdp-button_next,.rdp-button_previous{cursor:pointer;font:inherit;color:inherit;appearance:none;width:var(--rdp-nav_button-width);height:var(--rdp-nav_button-height);background:0 0;border:none;justify-content:center;align-items:center;margin:0;padding:0;display:inline-flex;position:relative}.rdp-button_next:disabled,.rdp-button_next[aria-disabled=true],.rdp-button_previous:disabled,.rdp-button_previous[aria-disabled=true]{cursor:revert;opacity:var(--rdp-nav_button-disabled-opacity)}.rdp-chevron{fill:var(--rdp-accent-color);display:inline-block}.rdp-root[dir=rtl] .rdp-nav .rdp-chevron{transform-origin:50%;transform:rotate(180deg)}.rdp-dropdowns{align-items:center;gap:var(--rdp-dropdown-gap);display:inline-flex;position:relative}.rdp-dropdown{z-index:2;opacity:0;appearance:none;width:100%;cursor:inherit;line-height:inherit;border:none;margin:0;padding:0;position:absolute;inset-block:0;inset-inline-start:0}.rdp-dropdown_root{align-items:center;display:inline-flex;position:relative}.rdp-dropdown_root[data-disabled=true] .rdp-chevron{opacity:var(--rdp-disabled-opacity)}.rdp-month_caption{height:var(--rdp-nav-height);align-content:center;font-size:large;font-weight:700;display:flex}.rdp-root[data-nav-layout=around] .rdp-month,.rdp-root[data-nav-layout=after] .rdp-month{position:relative}.rdp-root[data-nav-layout=around] .rdp-month_caption{justify-content:center;margin-inline-start:var(--rdp-nav_button-width);margin-inline-end:var(--rdp-nav_button-width);position:relative}.rdp-root[data-nav-layout=around] .rdp-button_previous{inset-inline-start:0;height:var(--rdp-nav-height);display:inline-flex;position:absolute;top:0}.rdp-root[data-nav-layout=around] .rdp-button_next{inset-inline-end:0;height:var(--rdp-nav-height);justify-content:center;display:inline-flex;position:absolute;top:0}.rdp-months{gap:var(--rdp-months-gap);flex-wrap:wrap;max-width:fit-content;display:flex;position:relative}.rdp-month_grid{border-collapse:collapse}.rdp-nav{height:var(--rdp-nav-height);align-items:center;display:flex;position:absolute;inset-block-start:0;inset-inline-end:0}.rdp-weekday{opacity:var(--rdp-weekday-opacity);padding:var(--rdp-weekday-padding);text-align:var(--rdp-weekday-text-align);text-transform:var(--rdp-weekday-text-transform);font-size:smaller;font-weight:500}.rdp-week_number{opacity:var(--rdp-week_number-opacity);height:var(--rdp-week_number-height);width:var(--rdp-week_number-width);border:var(--rdp-week_number-border);border-radius:var(--rdp-week_number-border-radius);text-align:var(--rdp-weeknumber-text-align);font-size:small;font-weight:400}.rdp-today:not(.rdp-outside){color:var(--rdp-today-color)}.rdp-selected{font-size:large;font-weight:700}.rdp-selected .rdp-day_button{border:var(--rdp-selected-border)}.rdp-outside{opacity:var(--rdp-outside-opacity)}.rdp-disabled:not(.rdp-selected){opacity:var(--rdp-disabled-opacity)}.rdp-hidden{visibility:hidden;color:var(--rdp-range_start-color)}.rdp-range_start{background:var(--rdp-range_start-background)}.rdp-range_start .rdp-day_button{background-color:var(--rdp-range_start-date-background-color);color:var(--rdp-range_start-color)}.rdp-range_middle{background-color:var(--rdp-range_middle-background-color)}.rdp-range_middle .rdp-day_button{border:unset;border-radius:unset;color:var(--rdp-range_middle-color)}.rdp-range_end{background:var(--rdp-range_end-background);color:var(--rdp-range_end-color)}.rdp-range_end .rdp-day_button{color:var(--rdp-range_start-color);background-color:var(--rdp-range_end-date-background-color)}.rdp-range_start.rdp-range_end{background:revert}.rdp-focusable{cursor:pointer}@keyframes rdp-slide_in_left{0%{transform:translate(-100%)}to{transform:translate(0)}}@keyframes rdp-slide_in_right{0%{transform:translate(100%)}to{transform:translate(0)}}@keyframes rdp-slide_out_left{0%{transform:translate(0)}to{transform:translate(-100%)}}@keyframes rdp-slide_out_right{0%{transform:translate(0)}to{transform:translate(100%)}}.rdp-weeks_before_enter{animation:rdp-slide_in_left var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-weeks_before_exit{animation:rdp-slide_out_left var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-weeks_after_enter{animation:rdp-slide_in_right var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-weeks_after_exit{animation:rdp-slide_out_right var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-root[dir=rtl] .rdp-weeks_after_enter{animation:rdp-slide_in_left var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-root[dir=rtl] .rdp-weeks_before_exit{animation:rdp-slide_out_right var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-root[dir=rtl] .rdp-weeks_before_enter{animation:rdp-slide_in_right var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-root[dir=rtl] .rdp-weeks_after_exit{animation:rdp-slide_out_left var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}@keyframes rdp-fade_in{0%{opacity:0}to{opacity:1}}@keyframes rdp-fade_out{0%{opacity:1}to{opacity:0}}.rdp-caption_after_enter{animation:rdp-fade_in var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-caption_after_exit{animation:rdp-fade_out var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-caption_before_enter{animation:rdp-fade_in var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}.rdp-caption_before_exit{animation:rdp-fade_out var(--rdp-animation_duration) var(--rdp-animation_timing) forwards}
.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__dateWrap{position:relative}.PatientIntakeForm-module__G_YGBG__dateInput{padding-right:48px}.PatientIntakeForm-module__G_YGBG__controlReadonly{background-color:var(--color-grey-light);color:var(--text-secondary);cursor:default}.PatientIntakeForm-module__G_YGBG__controlReadonly:focus{border-color:var(--color-gold-dark);box-shadow:none}.PatientIntakeForm-module__G_YGBG__dateToggle{width:48px;height:48px;color:var(--color-gold-dark);cursor:pointer;background:0 0;border:0;justify-content:center;align-items:center;padding:0;display:flex;position:absolute;top:0;right:0}.PatientIntakeForm-module__G_YGBG__dateToggle:focus-visible{outline:2px solid var(--color-gold);outline-offset:-4px;border-radius:var(--radius)}.PatientIntakeForm-module__G_YGBG__datePopover{z-index:30;border:1px solid var(--color-gold-dark);border-radius:var(--radius);background:var(--color-white);max-width:calc(100vw - 32px);padding:12px;position:absolute;top:calc(100% + 6px);left:0;box-shadow:0 12px 32px #11111129}.PatientIntakeForm-module__G_YGBG__calendar{--rdp-accent-color:var(--color-gold-dark);--rdp-accent-background-color:#f1ead8;--rdp-day-height:40px;--rdp-day-width:40px;--rdp-today-color:var(--color-gold-dark);color:var(--text-primary);font:inherit;margin:0;font-size:.9375rem}.PatientIntakeForm-module__G_YGBG__calHead{align-items:center;gap:4px;margin-bottom:8px;display:flex}.PatientIntakeForm-module__G_YGBG__calSwitch{border-radius:var(--radius);color:var(--text-primary);font:inherit;font-weight:var(--weight-semibold);cursor:pointer;background:0 0;border:1px solid #0000;align-items:center;gap:6px;padding:6px 10px;display:inline-flex}.PatientIntakeForm-module__G_YGBG__calSwitch svg{color:var(--color-gold-dark);transition:transform .2s}.PatientIntakeForm-module__G_YGBG__calSwitch:hover,.PatientIntakeForm-module__G_YGBG__calSwitchOn{border-color:var(--color-gold-dark);background:#f1ead8}.PatientIntakeForm-module__G_YGBG__calSwitchOn svg{transform:rotate(180deg)}.PatientIntakeForm-module__G_YGBG__calNav{margin-left:auto;display:flex}.PatientIntakeForm-module__G_YGBG__calArrow{border-radius:var(--radius);width:36px;height:36px;color:var(--color-gold-dark);cursor:pointer;background:0 0;border:0;justify-content:center;align-items:center;padding:0;display:flex}.PatientIntakeForm-module__G_YGBG__calArrow:hover:not(:disabled){background:#f1ead8}.PatientIntakeForm-module__G_YGBG__calArrow:disabled{opacity:.3;cursor:default}.PatientIntakeForm-module__G_YGBG__calSwitch:focus-visible,.PatientIntakeForm-module__G_YGBG__calArrow:focus-visible,.PatientIntakeForm-module__G_YGBG__calCell:focus-visible{outline:2px solid var(--color-gold);outline-offset:1px}.PatientIntakeForm-module__G_YGBG__calGrid{grid-template-columns:repeat(3,minmax(0,1fr));gap:6px;width:280px;max-width:100%;display:grid}.PatientIntakeForm-module__G_YGBG__calYears{scrollbar-width:thin;scrollbar-color:var(--color-gold-dark) transparent;grid-template-columns:repeat(4,minmax(0,1fr));max-height:248px;padding-right:4px;overflow-y:auto}.PatientIntakeForm-module__G_YGBG__calCell{border-radius:var(--radius);height:40px;color:var(--text-primary);font:inherit;cursor:pointer;background:0 0;border:1px solid #0000}.PatientIntakeForm-module__G_YGBG__calCell:hover:not(:disabled){border-color:var(--color-gold-dark);background:#f1ead8}.PatientIntakeForm-module__G_YGBG__calCell:disabled{opacity:.3;cursor:default}.PatientIntakeForm-module__G_YGBG__calCellOn,.PatientIntakeForm-module__G_YGBG__calCellOn:hover:not(:disabled){border-color:var(--color-gold-dark);background:var(--color-gold-dark);color:var(--color-white);font-weight:var(--weight-semibold)}.PatientIntakeForm-module__G_YGBG__calendar .rdp-weekday{color:var(--text-secondary);font-weight:var(--weight-semibold)}.PatientIntakeForm-module__G_YGBG__calendar .rdp-selected .rdp-day_button{border-color:var(--color-gold-dark);background:var(--color-gold-dark);color:var(--color-white)}.PatientIntakeForm-module__G_YGBG__calendar .rdp-day_button:focus-visible{outline:2px solid var(--color-gold);outline-offset:1px}.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}}