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.col-md-offset-1{box-sizing:border-box;margin-left:12.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-2{box-sizing:border-box;flex-basis:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-2{box-sizing:border-box;margin-left:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-3{box-sizing:border-box;flex-basis:37.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-3{box-sizing:border-box;margin-left:37.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-4{box-sizing:border-box;flex-basis:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-4{box-sizing:border-box;margin-left:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-5{box-sizing:border-box;flex-basis:62.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-5{box-sizing:border-box;margin-left:62.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-6{box-sizing:border-box;flex-basis:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-6{box-sizing:border-box;margin-left:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-7{box-sizing:border-box;flex-basis:87.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-7{box-sizing:border-box;margin-left:87.5%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-8{box-sizing:border-box;flex-basis:100%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-md-offset-8{box-sizing:border-box;margin-left:100%;padding-left:16px;padding-right:16px;justify-content:space-between}}@media screen and (min-width: 992px){.flex-grid .col-lg-1{box-sizing:border-box;flex-basis:8.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-1{box-sizing:border-box;margin-left:8.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-2{box-sizing:border-box;flex-basis:16.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-2{box-sizing:border-box;margin-left:16.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-3{box-sizing:border-box;flex-basis:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-3{box-sizing:border-box;margin-left:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-4{box-sizing:border-box;flex-basis:33.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-4{box-sizing:border-box;margin-left:33.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-5{box-sizing:border-box;flex-basis:41.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-5{box-sizing:border-box;margin-left:41.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-6{box-sizing:border-box;flex-basis:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-6{box-sizing:border-box;margin-left:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-7{box-sizing:border-box;flex-basis:58.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-7{box-sizing:border-box;margin-left:58.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-8{box-sizing:border-box;flex-basis:66.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-8{box-sizing:border-box;margin-left:66.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-9{box-sizing:border-box;flex-basis:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-9{box-sizing:border-box;margin-left:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-10{box-sizing:border-box;flex-basis:83.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-10{box-sizing:border-box;margin-left:83.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-11{box-sizing:border-box;flex-basis:91.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-11{box-sizing:border-box;margin-left:91.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-12{box-sizing:border-box;flex-basis:100%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-lg-offset-12{box-sizing:border-box;margin-left:100%;padding-left:16px;padding-right:16px;justify-content:space-between}}@media screen and (min-width: 1200px){.flex-grid .col-xl-1{box-sizing:border-box;flex-basis:8.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-1{box-sizing:border-box;margin-left:8.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-2{box-sizing:border-box;flex-basis:16.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-2{box-sizing:border-box;margin-left:16.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-3{box-sizing:border-box;flex-basis:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-3{box-sizing:border-box;margin-left:25%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-4{box-sizing:border-box;flex-basis:33.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-4{box-sizing:border-box;margin-left:33.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-5{box-sizing:border-box;flex-basis:41.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-5{box-sizing:border-box;margin-left:41.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-6{box-sizing:border-box;flex-basis:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-6{box-sizing:border-box;margin-left:50%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-7{box-sizing:border-box;flex-basis:58.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-7{box-sizing:border-box;margin-left:58.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-8{box-sizing:border-box;flex-basis:66.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-8{box-sizing:border-box;margin-left:66.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-9{box-sizing:border-box;flex-basis:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-9{box-sizing:border-box;margin-left:75%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-10{box-sizing:border-box;flex-basis:83.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-10{box-sizing:border-box;margin-left:83.3333333333%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-11{box-sizing:border-box;flex-basis:91.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-11{box-sizing:border-box;margin-left:91.6666666667%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-12{box-sizing:border-box;flex-basis:100%;padding-left:16px;padding-right:16px;justify-content:space-between}.flex-grid .col-xl-offset-12{box-sizing:border-box;margin-left:100%;padding-left:16px;padding-right:16px;justify-content:space-between}}.fd-small-heading-01{font-weight:700;font-size:14px;line-height:16px;letter-spacing:-0.1px}.fd-small-heading-02{font-weight:700;font-size:16px;line-height:20px;letter-spacing:-0.2px}.fd-small-heading-03{font-weight:700;font-size:18px;line-height:22px;letter-spacing:-0.25px}.fd-small-heading-04{font-weight:700;font-size:20px;line-height:24px;letter-spacing:-0.5px}.fd-small-heading-05{font-weight:700;font-size:24px;line-height:28px;letter-spacing:-0.5px}.fd-small-heading-06{font-weight:700;font-size:28px;line-height:30px;letter-spacing:-0.5px}.fd-small-heading-07{font-weight:700;font-size:30px;line-height:36px;letter-spacing:-0.5px}.fd-small-heading-08{font-weight:700;font-size:32px;line-height:36px;letter-spacing:-0.5px}.fd-small-body-01{font-weight:400;letter-spacing:0;font-size:14px;line-height:22px}.fd-small-body-02{font-weight:400;letter-spacing:0;font-size:16px;line-height:24px}.fd-small-body-03{font-weight:400;letter-spacing:0;font-size:18px;line-height:26px}.fd-small-body-04{font-weight:400;letter-spacing:0;font-size:20px;line-height:28px}.fd-small-body-01-bold{font-weight:400;letter-spacing:0;font-size:14px;line-height:22px;font-weight:700}.fd-small-body-02-bold{font-weight:400;letter-spacing:0;font-size:16px;line-height:24px;font-weight:700}.fd-small-body-03-bold{font-weight:400;letter-spacing:0;font-size:18px;line-height:26px;font-weight:700}.fd-small-body-04-bold{font-weight:400;letter-spacing:0;font-size:20px;line-height:28px;font-weight:700}.fd-small-caption-01{font-weight:400;letter-spacing:0;font-size:14px;line-height:18px}.fd-small-caption-01-bold{font-weight:400;letter-spacing:0;font-size:14px;line-height:18px;font-weight:700}.SelectInput{margin-bottom:28px;width:100%}.SelectInput .select-content{position:relative}.SelectInput .select-dropdown{background:#fff}.SelectInput select.placeholder:not(:focus){color:#a5a5a5}.SelectInput label{display:block;width:100%;font-size:12px;font-weight:700;margin-bottom:5px;text-align:left;color:#333}.SelectInput select{display:inline-block;width:100%;font-size:16px;border-radius:4px;border:1px solid #e1e4e5;height:48px;-webkit-appearance:none;-moz-appearance:none;appearance:none;padding-left:15px;background:rgba(0,0,0,0);color:#212121;position:relative;z-index:11}.SelectInput svg{pointer-events:none;height:6px;margin-left:15px;margin-bottom:1px;position:absolute;bottom:21px;right:18px;z-index:10}.SelectInput.disabled select{color:#a5adb1;border:1px solid #e1e4e5;background:#f9f9f9;cursor:not-allowed}.SelectInput.disabled svg g[id="icon/arrow/down"]{fill:#999}.SelectInput ::-webkit-input-placeholder{color:#a5a5a5}.SelectInput ::-moz-placeholder{color:#a5a5a5}.SelectInput :-ms-input-placeholder{color:#a5a5a5}.SelectInput :-moz-placeholder{color:#a5a5a5}.SelectInput.v2{padding-top:3px}.SelectInput.v2 label{color:#212121;margin-bottom:5px}.SelectInput.v2 .select-dropdown{margin:4px 0}.SelectInput.v2 .select-dropdown>svg{bottom:22px}.SelectInput.v2 select{height:auto;border:1px solid #6c767c;border-radius:6px;padding:12px}.SelectInput.v2 select::-moz-placeholder{color:#6c767c}.SelectInput.v2 select:-ms-input-placeholder{color:#6c767c}.SelectInput.v2 select::placeholder{color:#6c767c}.SelectInput.v2 svg{pointer-events:none;height:6px;width:8px;position:absolute;bottom:26px;right:20px;z-index:10}
.FormattingInput{position:relative;margin-bottom:24px}.FormattingInput .dollar-sign{position:absolute;z-index:2;top:13px;left:13px}.FormattingInput .dollar-sign-with-label{top:35px}.FormattingInput .Input{width:100% !important;margin-bottom:4px}.FormattingInput.currency input{padding-left:22px}.FormattingInput .helper-text{color:#6c767c;font-size:12px}
@media only screen and (max-width: 840px){.PatientInfoForm{padding:0 20px}}
.PatientInfoForm .form-title{padding-bottom:5px}
.PatientInfoForm .patients{padding:23px 0}
.PatientInfoForm .patient{display:flex}
.PatientInfoForm .Checkbox{flex-grow:1;margin:8px auto;max-width:580px;padding-top:17px !important}
.PatientInfoForm .Checkbox .checkbox{margin-left:10px;margin-right:10px}
.PatientInfoForm .Checkbox .label{margin-left:0;padding-right:10px}
.PatientInfoForm .Checkbox .description{font-size:14px;color:#666;font-weight:normal}
.PatientInfoForm .Checkbox .title{margin-bottom:0;font-weight:700;font-size:16px}
.PatientInfoForm .Checkbox.content-panel{background:#fff;height:56px}
.PatientInfoForm .Checkbox.checked{background:#f5f9fe !important}
.PatientInfoForm .Checkbox:hover{background:#f5f9fe !important}
.Checkbox{padding-top:15px;margin-bottom:40px;display:block;cursor:pointer}.Checkbox .title{font-weight:700;line-height:20px;margin-left:45px}.Checkbox input{display:none}.Checkbox .checkbox{display:block;height:20px;width:20px;background:#fff;float:left;margin-left:13px}.Checkbox .label{margin-left:45px;line-height:20px;display:block;padding-bottom:16px;padding-right:16px}.Checkbox.content-panel{background:#fafafa;border-radius:4px;border:1px solid #e0e0e0}.Checkbox.updated-styles{margin-bottom:0;border:none;background:none}.Checkbox.updated-styles .checkbox{margin:0;background:none}.Checkbox.updated-styles .label{margin-left:30px;padding:0}.Checkbox .error-icon{float:left;margin:5px 10px}.Checkbox .ErrorMessage{border-top:1px solid #e0e0e0;border:1px solid #ffa726;min-height:45px;padding-top:15px}
.VisitedBeforeForm{margin:0 20px}.VisitedBeforeForm .form-title{padding-bottom:30px}.VisitedBeforeForm .multiple-selected-patients{padding-bottom:24px}
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