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var(--ps-ink-3);border-radius:8px;font-size:16px;color:var(--ps-ink);background:var(--ps-surface);transition:border-color .15s;min-height:48px}.intake-form_input__aNHs7:focus{outline:none;border-color:var(--ps-focus);box-shadow:var(--ps-focus-ring)}.intake-form_input__aNHs7:focus-visible,.intake-form_select__OT74_:focus-visible{outline:2px solid var(--ps-accent-deep);outline-offset:2px}.intake-form_select__OT74_{width:100%;border:1px solid var(--ps-ink-3);border-radius:8px;font-size:16px;color:var(--ps-ink);background:var(--ps-surface);transition:border-color .15s;min-height:48px;appearance:none;background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='12' height='12' viewBox='0 0 12 12'%3E%3Cpath fill='%236b7280' d='M6 8L1 3h10z'/%3E%3C/svg%3E");background-repeat:no-repeat;background-position:right 12px center;padding:10px 36px 10px 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input{margin-top:2px}.intake-form_safetyCallout__G93WR{padding:14px 16px;background-color:rgba(254,243,199,.4);border:1px solid #fde68a;border-radius:8px;margin-bottom:16px;font-size:14px;color:#92400e;line-height:1.5}.intake-form_footer__5TLjb{margin-top:24px;font-size:12px;color:var(--ps-ink-2);text-align:center}.intake-form_stepContent__Z7GiH{animation:intake-form_fadeIn__1iRqU .2s ease-out}.intake-form_stepScope__M85u6{scroll-margin-top:24px}@media (prefers-reduced-motion:reduce){.intake-form_stepContent__Z7GiH{animation:none}}@keyframes intake-form_fadeIn__1iRqU{0%{opacity:0;transform:translateY(4px)}to{opacity:1;transform:translateY(0)}}.intake-form_fieldGroup__YeZeY{margin-bottom:20px}.intake-form_fieldGroup__YeZeY:last-child{margin-bottom:0}.intake-form_medicareRow__qezKE{display:flex;gap:12px;align-items:flex-start}.intake-form_medicareField__Jng0U{flex:1}.intake-form_irnField__zbNCB{width:80px;flex-shrink:0}.intake-form_irnInput__LxWqJ{text-align:center}@media (max-width:560px){.intake-form_medicareRow__qezKE{flex-direction:column;gap:0}.intake-form_irnField__zbNCB{width:100%}}.intake-form_nhiHintValid__2z1ww{font-size:12.5px;color:var(--ps-ink-2);margin-top:6px}.intake-form_nhiHintInvalid__nHOkf{font-size:12.5px;color:#b45309;margin-top:6px}.intake-form_heldNote__4Fb_Z{border-left:3px solid var(--ps-line);padding:10px 14px;font-size:13px;color:var(--ps-ink-2);margin-bottom:18px}.intake-form_previewBanner__BPtNV{display:flex;align-items:center;justify-content:space-between;padding:10px 20px;background-color:#f0f4ff;border:1px solid #dbeafe;border-radius:8px;margin-bottom:16px;font-size:13px;color:#1d4ed8;max-width:480px;width:100%}.intake-form_previewBackLink__VJ7zV{color:#1d4ed8;text-decoration:underline;text-underline-offset:2px;font-size:13px}.intake-form_addressRow__GXalJ{display:flex;gap:12px}@media (max-width:480px){.intake-form_addressRow__GXalJ{flex-direction:column;gap:0}}.intake-form_yesNoRadioGroup__zQBK9{display:flex;gap:8px}.intake-form_yesNoRadioGroup__zQBK9 .intake-form_radioLabel__hQPDb{flex:0 0 auto;min-height:44px;padding:6px 20px;font-size:14px}.intake-form_expandSection__q5LuM{margin-top:16px;padding-left:16px;border-left:2px solid var(--ps-line);animation:intake-form_fadeIn__1iRqU .2s ease-out}@media (prefers-reduced-motion:reduce){.intake-form_expandSection__q5LuM{animation:none}}.intake-form_healthCareSection__zA0NQ{padding-bottom:20px;margin-bottom:20px;border-bottom:1px solid var(--ps-line)}.intake-form_healthCareSection__zA0NQ:last-child{border-bottom:none;margin-bottom:0;padding-bottom:0}.intake-form_completionRestart__ocYdP{background:none;border:none;padding:0;font-size:.875rem;color:var(--ps-ink-2);text-decoration:underline;text-underline-offset:2px;cursor:pointer;transition:color .15s}.intake-form_completionRestart__ocYdP:hover{color:var(--ps-ink)}.intake-form_turnstilePlaceholder__BPZel{padding:.75rem 1rem;border:1px dashed var(--ps-line,#e5e1d8);border-radius:8px;font-size:.8125rem;color:var(--ps-ink-3,#8a8374);background:var(--ps-surface,#fdfcfa)}.intake-form_reviewTitle__ItzI_{margin:0 0 1rem;font-size:1.25rem;font-weight:600;color:var(--ps-ink);line-height:var(--ps-line-height,1.6)}.intake-form_subjectLine__cOCba{font-size:12px;color:var(--ps-ink-2);margin:0 0 16px}.intake-form_radioExpandOption__qE4uc{align-items:flex-start}.intake-form_radioFieldset__n0tow{border:0;margin:0;padding:0;min-width:0}.intake-form_draftAcknowledgement__zNZoj{border:1px solid var(--ps-ink-3);background:#fdfcfa;border-radius:8px;padding:12px 14px;margin-top:16px}.intake-form_draftAcknowledgement__zNZoj p{font-size:13px;line-height:1.5;color:#6b6456;margin:0}.intake-form_draftAcknowledgement__zNZoj p+p{margin-top:6px}.intake-form_draftStatus__6ms_o{font-size:12.5px;color:#6b6456;margin:12px 0 0;min-height:1em}.intake-form_draftStatusRetry__Wn69u{font-size:12.5px;color:#b45309;margin:12px 0 0;min-height:1em}.intake-form_customQuestionNote__oGSoY{margin:0 0 1.5rem;color:var(--ps-ink-2);font-size:1em;line-height:var(--ps-line-height)}.intake-form_customQuestionsStep__u0g0L{display:flex;flex-direction:column;gap:1.75rem}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_errorBanner__0N_Zd{background:var(--ps-accent-soft);color:var(--ps-error);border-color:var(--ps-error)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_safetyCallout__G93WR{background:var(--ps-accent-soft);color:var(--ps-warning);border-color:var(--ps-warning)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_draftStatusRetry__Wn69u,:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_nhiHintInvalid__nHOkf{color:var(--ps-warning)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_previewBanner__BPtNV{background:var(--ps-accent-soft);color:var(--ps-link)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_previewBackLink__VJ7zV{color:var(--ps-link)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_draftAcknowledgement__zNZoj{background:var(--ps-surface)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_draftAcknowledgement__zNZoj p,:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_draftStatus__6ms_o{color:var(--ps-ink-2)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_privacyCheckbox__6graJ span{color:var(--ps-ink-2)}:is(.ps-root[data-appearance=dark],html[data-patient-appearance=dark] .ps-root[data-appearance=auto]) .intake-form_privacyCheckbox__6graJ a{color:var(--ps-link)}@media screen{html[data-clinician-appearance=dark]:not([data-dashboard-output=light]) .Sidebar_navigation__oQoOq a[aria-current=page]{background:var(--dashboard-selection);color:var(--dashboard-selection-ink);border-color:var(--dashboard-selection-border)}html[data-clinician-appearance=dark]:not([data-dashboard-output=light]) .Sidebar_navigation__oQoOq a[aria-current=page] svg{color:var(--dashboard-selection-ink)}}