@import"//fonts.googleapis.com/css?family=Playball&display=swap";@import"//fonts.googleapis.com/css?family=Lato:300&display=swap";@import"//fonts.googleapis.com/css?family=Open+Sans&display=swap";@import"//fonts.googleapis.com/css?family=Droid+Sans&display=swap";@import"//fonts.googleapis.com/css?family=Raleway&display=swap";@import"https://fonts.googleapis.com/css2?family=Playfair+Display:ital,wght@0,400;0,500;1,400;1,500&family=Raleway:ital,wght@0,300;0,400;0,500;0,600;1,200&display=swap";body{font-family:Open Sans,Helvetica,sans-serif}#content{width:1000px;margin:auto}#heading{background-color:#d8d8da;border-color:#000;border-style:none solid solid;border-width:0 1px 1px;font-family:Open Sans,Helvetica,sans-serif;font-weight:700;margin-bottom:0;padding:5px}#heading-patient{background-color:#d8d8da;border:1px solid #000;padding:5px;font-family:Open Sans,Helvetica,sans-serif;font-weight:700;margin-bottom:0}#hh-form ul{width:100%;padding:0;border:0px solid #000;margin:0;float:left}#hh-form ul li{display:inline-block;padding:10px 1px 1px 8px;font-family:Open Sans,Helvetica,sans-serif;font-size:14px;float:left}#hh-form ul li a,#hh-form ul li a:visited{text-decoration:none;color:#000}#hh-form ul li a:hover{text-decoration:underline;color:#000}#hh-form{display:inline-block;border:2px solid #000;padding:5px;width:99%}#form{width:95%;border:1px solid black;padding-top:4%;margin-left:2%}.sign{float:left;list-style:outside none none;margin:30px 0;padding:0;width:100%}.sign>li{float:left;text-align:center;width:50%}.state-li{width:100px}.name-address-li{width:300px}.nickname-width{width:102px}.title-width{width:90px}.birth-width{width:115px}.birth-width-content{width:133px}.how-did-li{width:350px}.how-did-li-content{width:619px}.checkbox-width{width:119px}.checkbox-width-content{width:114px}.style3{text-decoration:overline}table,tr,td{font-family:Open Sans,Helvetica,sans-serif;font-size:14px}ul li table{width:100%}ul li table tr td table{width:10px}.size table tr td:first-child{width:90%}.size2 table tr td:first-child{width:76%}ul li table tr td{padding:0}.space2 table tr td:first-child+td+td{padding-left:15px}.space3 table tr td:first-child+td+td{padding-left:53px}#container{width:100%;text-align:center}#left{float:left;width:100px;height:20px}#center{display:inline-block;margin:0 auto;width:100px;height:20px}input[type=text]{border:0;outline:0;background:transparent;border-bottom:1px solid black;padding-top:3px}.border-box{display:inline-block;width:100%;max-width:233px;border-right:1px solid black;float:left}.MainFormButton{background-color:#325f92;font-size:18px;padding:10px 15px;border:0;color:#fff}td,div,span{font-size:14px}#navlist{display:table;width:55%;padding:0;margin:auto;text-align:center}#navlist li{display:inline-block;width:100%;max-width:300px}#navlist li:last-child{padding-right:0;vertical-align:middle}#navlist li.span-full{width:100%}.name-text{color:#000!important;font-size:30px!important;text-decoration:none!important;font-weight:400!important;font-family:Playfair Display;text-transform:uppercase}.Border-Box{border:2px solid #c9e5f0}.address-line{display:inline-block;list-style:none;padding:0;text-align:center;margin-top:2px;width:100%}.address-line li{display:inline-block;padding:0 15px;font-size:16px;font-weight:600;color:#c9e5f0;font-style:italic;margin-top:2px}.address-line li a{text-decoration:none!important;color:#c9e5f0}.col-50{display:inline-block;width:100%;max-width:48%;vertical-align:top}#code{width:100%;max-width:80px!important;text-align:center;letter-spacing:7px;display:block!important;margin:10px auto 0!important;font-size:18px}.form-altcha{display:inline-block;margin:.25rem auto 1rem;text-align:left}.form-status{display:none;margin:.75rem 0 1rem;font-weight:700;line-height:1.4}.form-status.is-visible{display:block}.form-status.is-pending{color:#1d4ed8}.form-status.is-success{color:#166534}.form-status.is-error{color:#b42318}form.is-submitting .MainFormButton,.MainFormButton[disabled]{opacity:.7;cursor:progress;pointer-events:none}@media(max-width:760px){table[width="745"],table[width="728"]{width:100%}#content{width:100%;max-width:100%;box-sizing:border-box}.col-50{max-width:100%}}