:root{--c-text: #1d2530;--c-muted: #607085;--c-border: #7c8798;--c-border-soft: #e1e7ef;--c-bg: #ffffff;--c-page: #f8fafc;--c-surface: #f1f5f9;--c-primary: #dd080c;--c-primary-dark: #bb070a;--c-navy: #151d28;--c-navy-2: #222c39;--c-focus: #dd080c;--c-error: #b42318;--c-error-tint: #fef2f2;--c-success: #15803d;--c-success-tint: #ecfdf3;--c-link: #bb070a;--radius: 10px;--radius-card: 16px;--gap: 20px;--shadow-card: 0 1px 2px rgba(15, 23, 42, .06), 0 12px 32px -12px rgba(15, 23, 42, .18)}*,*:before,*:after{box-sizing:border-box}html{-webkit-text-size-adjust:100%;text-size-adjust:100%}body{margin:0;font-family:ui-sans-serif,system-ui,-apple-system,Segoe UI,Roboto,Helvetica Neue,Arial,sans-serif;font-size:1rem;line-height:1.5;color:var(--c-text);background:var(--c-page);-webkit-font-smoothing:antialiased}html:not(.is-framed) body{min-height:100vh;min-height:100dvh}html.is-framed body{background:var(--c-bg)}html:not(.is-framed) .page{background:linear-gradient(180deg,var(--c-navy) 0,var(--c-navy-2) 220px,var(--c-page) 220px)}.page{display:flow-root;padding:16px 12px calc(28px + env(safe-area-inset-bottom))}.container{max-width:42rem;margin:0 auto}.header{display:flex;flex-wrap:wrap;align-items:center;justify-content:space-between;gap:12px;margin-bottom:20px}.logo{display:block;width:150px;height:auto}.is-framed .logo{display:none}.is-framed .header{justify-content:flex-end;margin-bottom:12px}.lang-toggle{display:inline-flex;gap:4px;padding:4px;background:#ffffff14;border:1px solid rgba(255,255,255,.4);border-radius:12px}.lang-button{min-height:44px;min-width:44px;padding:8px 16px;font:inherit;font-weight:600;color:#e2e8f0;background:transparent;border:0;border-radius:8px;cursor:pointer;transition:background-color .15s ease,color .15s ease}.lang-button:hover{color:#fff;background:#ffffff1a}.lang-button.is-active{color:var(--c-navy);background:#fff;box-shadow:0 1px 2px #0f172a40}.lang-button:focus-visible{outline:3px solid #ffffff;outline-offset:2px}.is-framed .lang-toggle{background:var(--c-surface);border-color:var(--c-border)}.is-framed .lang-button{color:var(--c-text)}.is-framed .lang-button:hover{color:var(--c-text);background:#e2e8f0}.is-framed .lang-button.is-active{color:#fff;background:var(--c-navy)}.is-framed .lang-button:focus-visible{outline-color:var(--c-focus)}main{--card-pad-x: 18px;padding:24px var(--card-pad-x) 28px;background:var(--c-bg);border:1px solid var(--c-border-soft);border-radius:var(--radius-card);box-shadow:var(--shadow-card)}.is-framed main{box-shadow:none}.title{font-size:1.75rem;line-height:1.2;font-weight:800;letter-spacing:-.02em;margin:0 0 8px}.intro{margin:0 0 4px;font-size:1.0625rem}.hint{margin:0 0 8px;color:var(--c-muted)}.form{counter-reset:step}.section{margin:28px 0 0;padding:8px 0 0;border:0;border-top:1px solid var(--c-border-soft);min-width:0}.section-title{display:flex;align-items:center;gap:10px;padding:0;margin-bottom:16px;font-size:1.25rem;font-weight:700;letter-spacing:-.01em}.section-title:before{counter-increment:step;content:counter(step);flex:none;display:inline-flex;align-items:center;justify-content:center;width:32px;height:32px;font-size:1rem;font-weight:700;color:#fff;background:var(--c-primary);border-radius:50%}.group{margin:0 0 var(--gap);padding:0;border:0;min-width:0}.field{margin:0 0 var(--gap)}.label{display:block;padding:0;margin-bottom:6px;font-weight:600}.input{display:block;width:100%;min-height:48px;padding:11px 14px;font:inherit;font-size:1rem;color:var(--c-text);background:var(--c-bg);border:1px solid var(--c-border);border-radius:var(--radius);box-shadow:0 1px 2px #0f172a0d;transition:border-color .15s ease,box-shadow .15s ease}.input:hover{border-color:#5b6677}.input::placeholder{color:var(--c-muted)}.input-narrow{max-width:16rem}.textarea{min-height:112px;resize:vertical}.name-group .field .label{font-weight:400}@media (min-width: 36rem){.name-group{display:grid;grid-template-columns:1fr 1fr;column-gap:16px}.name-group>legend{grid-column:1 / -1;float:left;width:100%}.name-group>.field{margin-bottom:0}}.has-error .input{border-color:var(--c-error);background:var(--c-error-tint)}.field-error{margin:0 0 6px;color:var(--c-error);font-weight:600}.has-error{border-left:4px solid var(--c-error);padding-left:12px}.echo{display:inline-block;margin:8px 0 0;padding:4px 10px;font-weight:600;color:var(--c-text);background:var(--c-surface);border-radius:999px}.choice{position:relative;isolation:isolate;display:flex;align-items:flex-start;gap:12px;min-height:48px;margin:0 0 8px;padding:0 0 0 14px;background:var(--c-bg);border:1px solid var(--c-border);border-radius:var(--radius);cursor:pointer;transition:border-color .15s ease,background-color .15s ease,box-shadow .15s ease}.choice:hover{background:var(--c-page)}.choice:has(input:checked){background:var(--c-page);border-color:var(--c-navy);box-shadow:inset 0 0 0 1px var(--c-navy)}.choice input{position:relative;z-index:1;flex:none;-moz-appearance:none;appearance:none;-webkit-appearance:none;width:24px;height:24px;margin:12px 0 0;background:var(--c-bg) center / 16px 16px no-repeat;border:2px solid var(--c-border);border-radius:6px;cursor:pointer}.choice input[type=radio]{border-radius:50%}.choice input[type=checkbox]:checked{background-color:var(--c-primary);background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 16 16'%3E%3Cpath d='M3 8.5l3.2 3L13 4.5' fill='none' stroke='%23ffffff' stroke-width='2.5'/%3E%3C/svg%3E");border-color:var(--c-primary)}.choice input[type=radio]:checked{background-color:var(--c-primary);border-color:var(--c-primary);box-shadow:inset 0 0 0 4px var(--c-bg)}@media (forced-colors: active){.choice input{-moz-appearance:auto;appearance:auto;-webkit-appearance:auto}.section-title:before{border:2px solid CanvasText}.choice:has(input:checked){border-color:Highlight;outline:2px solid Highlight;outline-offset:-3px}.lang-button{border:2px solid ButtonText}.lang-button.is-active,.is-framed .lang-button.is-active{forced-color-adjust:none;color:HighlightText;background:Highlight}.lang-button.is-active:focus-visible,.is-framed .lang-button.is-active:focus-visible{outline-color:CanvasText}}.choice label{flex:1;padding:12px 14px 12px 0;cursor:pointer}.choice label:after{content:"";position:absolute;top:0;right:0;bottom:0;left:0}@media (min-width: 30rem){.group:has(>.choice input[type=radio][name=has_insurance]){display:grid;grid-template-columns:1fr 1fr;column-gap:12px}.group:has(>.choice input[type=radio][name=has_insurance])>:not(.choice){grid-column:1 / -1}.group:has(>.choice input[type=radio][name=has_insurance])>legend{float:left;width:100%}}.choice-divider{display:flex;align-items:center;gap:12px;margin:8px 0 12px;color:var(--c-muted);font-weight:600}.choice-divider:before,.choice-divider:after{content:"";flex:1;height:1px;background:var(--c-border-soft)}.conditional{margin:0 0 12px 25px;padding:8px 0 0 20px;border-left:3px solid var(--c-border-soft)}.consent{margin:0 0 var(--gap)}.consent .choice{margin-bottom:0}.disclosure{margin:10px 0 0;padding:12px 14px;font-size:1rem;color:var(--c-text);background:var(--c-surface);border-radius:var(--radius)}.turnstile{display:flex;margin:8px calc(-1 * var(--card-pad-x)) 12px}.turnstile>*{margin-inline:auto}.status{min-height:1.5em;margin:0 0 12px;text-align:center;color:var(--c-text)}.status-prompt{font-weight:700}.button{display:inline-flex;align-items:center;justify-content:center;gap:8px;min-height:52px;padding:12px 22px;font:inherit;font-size:1.0625rem;font-weight:700;text-align:center;text-decoration:none;border:2px solid transparent;border-radius:var(--radius);cursor:pointer;transition:background-color .15s ease,box-shadow .15s ease,transform .05s ease}.button-primary{color:#fff;background:var(--c-primary);box-shadow:0 1px 2px #0f172a1f,0 8px 20px -10px #dd080cb3}.button-primary:hover{background:var(--c-primary-dark)}.button-primary:active{transform:translateY(1px)}.button-primary[aria-busy=true]{cursor:progress;background:var(--c-primary-dark)}.button-block{width:100%}.error-summary{margin:20px 0 0;padding:16px 16px 16px 18px;background:var(--c-error-tint);border:2px solid var(--c-error);border-left-width:6px;border-radius:var(--radius)}.error-summary-title{margin:0 0 8px;font-size:1.25rem;color:var(--c-error)}.error-summary-general{margin:0}.error-summary-list{margin:0;padding-left:20px}.error-summary-list a{color:var(--c-error);font-weight:600}.thanks{padding-top:8px;text-align:center}.thanks:before{content:"";display:block;width:64px;height:64px;margin:0 auto 16px;background:var(--c-success-tint) center / 32px 32px no-repeat url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 24 24'%3E%3Cpath d='M5 12.5l4.5 4.5L19 7.5' fill='none' stroke='%2315803d' stroke-width='2.6' stroke-linecap='round' stroke-linejoin='round'/%3E%3C/svg%3E");border-radius:50%}.thanks .reference{display:inline-block;margin:8px 0 12px;padding:8px 16px;font-size:1.125rem;font-weight:700;background:var(--c-surface);border:1px solid var(--c-border-soft);border-radius:var(--radius)}.footer{margin-top:20px;padding:0 4px;text-align:center;color:var(--c-muted)}.footer p{margin:0 0 8px}a{color:var(--c-link);text-underline-offset:2px}:focus-visible{outline:3px solid var(--c-focus);outline-offset:2px}.input:focus{border-color:var(--c-primary);outline:3px solid var(--c-focus);outline-offset:1px}.choice input:focus{outline:3px solid var(--c-focus);outline-offset:2px}.error-summary:focus,.title:focus{outline:none}.error-summary:focus-visible,.title:focus-visible{outline:3px solid var(--c-focus);outline-offset:4px}.visually-hidden{position:absolute!important;width:1px!important;height:1px!important;margin:-1px!important;padding:0!important;overflow:hidden!important;clip:rect(0 0 0 0)!important;white-space:nowrap!important;border:0!important}@media (max-width: 22.5rem){.page{padding-inline:8px}main{--card-pad-x: 14px}}@media (min-width: 40rem){.page{padding:28px 24px calc(40px + env(safe-area-inset-bottom))}.logo{width:170px}main{--card-pad-x: 40px;padding-block:36px 40px}.turnstile{margin-inline:0}.title{font-size:2rem}}@media (prefers-reduced-motion: reduce){*,*:before,*:after{animation-duration:.01ms!important;animation-iteration-count:1!important;transition-duration:.01ms!important;scroll-behavior:auto!important}}