@import"https://fonts.googleapis.com/css2?family=Cormorant+Garamond:ital,wght@0,300;0,400;0,500;1,300;1,400&family=Jost:wght@300;400;500&display=swap";@layer components;@layer properties{@supports (((-webkit-hyphens:none)) and (not (margin-trim:inline))) or ((-moz-orient:inline) and (not (color:rgb(from red r g b)))){*,:before,:after,::backdrop{--tw-rotate-x:initial;--tw-rotate-y:initial;--tw-rotate-z:initial;--tw-skew-x:initial;--tw-skew-y:initial;--tw-font-weight:initial;--tw-blur:initial;--tw-brightness:initial;--tw-contrast:initial;--tw-grayscale:initial;--tw-hue-rotate:initial;--tw-invert:initial;--tw-opacity:initial;--tw-saturate:initial;--tw-sepia:initial;--tw-drop-shadow:initial;--tw-drop-shadow-color:initial;--tw-drop-shadow-alpha:100%;--tw-drop-shadow-size:initial}}}@layer theme{:root,:host{--font-sans:ui-sans-serif, system-ui, sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji";--font-mono:ui-monospace, SFMono-Regular, Menlo, Monaco, Consolas, "Liberation Mono", "Courier New", monospace;--color-blue-600:oklch(54.6% .245 262.881);--color-gray-600:oklch(44.6% .03 256.802);--spacing:.25rem;--font-weight-bold:700;--default-font-family:var(--font-sans);--default-mono-font-family:var(--font-mono)}}@layer base{*,:after,:before,::backdrop{box-sizing:border-box;border:0 solid;margin:0;padding:0}::file-selector-button{box-sizing:border-box;border:0 solid;margin:0;padding:0}html,:host{-webkit-text-size-adjust:100%;tab-size:4;line-height:1.5;font-family:var(--default-font-family,ui-sans-serif, system-ui, sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji");font-feature-settings:var(--default-font-feature-settings,normal);font-variation-settings:var(--default-font-variation-settings,normal);-webkit-tap-highlight-color:transparent}hr{height:0;color:inherit;border-top-width:1px}abbr:where([title]){-webkit-text-decoration:underline dotted;text-decoration:underline dotted}h1,h2,h3,h4,h5,h6{font-size:inherit;font-weight:inherit}a{color:inherit;-webkit-text-decoration:inherit;text-decoration:inherit}b,strong{font-weight:bolder}code,kbd,samp,pre{font-family:var(--default-mono-font-family,ui-monospace, SFMono-Regular, Menlo, Monaco, Consolas, "Liberation Mono", "Courier New", monospace);font-feature-settings:var(--default-mono-font-feature-settings,normal);font-variation-settings:var(--default-mono-font-variation-settings,normal);font-size:1em}small{font-size:80%}sub,sup{vertical-align:baseline;font-size:75%;line-height:0;position:relative}sub{bottom:-.25em}sup{top:-.5em}table{text-indent:0;border-color:inherit;border-collapse:collapse}:-moz-focusring{outline:auto}progress{vertical-align:baseline}summary{display:list-item}ol,ul,menu{list-style:none}img,svg,video,canvas,audio,iframe,embed,object{vertical-align:middle;display:block}img,video{max-width:100%;height:auto}button,input,select,optgroup,textarea{font:inherit;font-feature-settings:inherit;font-variation-settings:inherit;letter-spacing:inherit;color:inherit;opacity:1;background-color:#0000;border-radius:0}::file-selector-button{font:inherit;font-feature-settings:inherit;font-variation-settings:inherit;letter-spacing:inherit;color:inherit;opacity:1;background-color:#0000;border-radius:0}:where(select:is([multiple],[size])) optgroup{font-weight:bolder}:where(select:is([multiple],[size])) optgroup option{padding-inline-start:20px}::file-selector-button{margin-inline-end:4px}::placeholder{opacity:1}@supports (not ((-webkit-appearance:-apple-pay-button))) or (contain-intrinsic-size:1px){::placeholder{color:currentColor}@supports (color:color-mix(in lab,red,red)){::placeholder{color:color-mix(in oklab,currentcolor 50%,transparent)}}}textarea{resize:vertical}::-webkit-search-decoration{-webkit-appearance:none}::-webkit-date-and-time-value{min-height:1lh;text-align:inherit}::-webkit-datetime-edit{display:inline-flex}::-webkit-datetime-edit-fields-wrapper{padding:0}::-webkit-datetime-edit{padding-block:0}::-webkit-datetime-edit-year-field{padding-block:0}::-webkit-datetime-edit-month-field{padding-block:0}::-webkit-datetime-edit-day-field{padding-block:0}::-webkit-datetime-edit-hour-field{padding-block:0}::-webkit-datetime-edit-minute-field{padding-block:0}::-webkit-datetime-edit-second-field{padding-block:0}::-webkit-datetime-edit-millisecond-field{padding-block:0}::-webkit-datetime-edit-meridiem-field{padding-block:0}::-webkit-calendar-picker-indicator{line-height:1}:-moz-ui-invalid{box-shadow:none}button,input:where([type=button],[type=reset],[type=submit]){appearance:button}::file-selector-button{appearance:button}::-webkit-inner-spin-button{height:auto}::-webkit-outer-spin-button{height:auto}[hidden]:where(:not([hidden=until-found])){display:none!important}}@layer utilities{.visible{visibility:visible}.static{position:static}.start{inset-inline-start:var(--spacing)}.hidden{display:none}.transform{transform:var(--tw-rotate-x,) var(--tw-rotate-y,) var(--tw-rotate-z,) var(--tw-skew-x,) var(--tw-skew-y,)}.font-bold{--tw-font-weight:var(--font-weight-bold);font-weight:var(--font-weight-bold)}.text-blue-600{color:var(--color-blue-600)}.text-gray-600{color:var(--color-gray-600)}.filter{filter:var(--tw-blur,) var(--tw-brightness,) var(--tw-contrast,) var(--tw-grayscale,) var(--tw-hue-rotate,) var(--tw-invert,) var(--tw-saturate,) var(--tw-sepia,) var(--tw-drop-shadow,)}}:root{--cream:#f3eee7;--paper:#fbf9f6;--paper-deep:#f7f2eb;--ink:#211a16;--text:#463b34;--muted:#8e8178;--taupe:#cbbba2;--deep-taupe:#816c58;--gold:#b39261;--gold-dark:#927044;--border:#dfd5c9;--amber-wash:#fbf5e9;--error:#9b4f42}*{box-sizing:border-box}html{background:var(--cream)}body{min-width:320px;color:var(--text);background:var(--cream);-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;margin:0;font-family:Jost,sans-serif;font-weight:300}button,input,select,textarea{font:inherit}.page-wrap{background:linear-gradient(#52403106 1px,transparent 1px),linear-gradient(90deg,#52403106 1px,transparent 1px),var(--cream);background-size:44px 44px;min-height:100vh;padding:70px 20px 34px;position:relative;overflow:hidden}.ambient{z-index:0;pointer-events:none;filter:blur(1px);border-radius:999px;position:fixed}.ambient-one{background:radial-gradient(circle,#b3926133,#0000 68%);width:520px;height:520px;top:-180px;right:-120px}.ambient-two{background:radial-gradient(circle,#82685121,#0000 68%);width:650px;height:650px;bottom:-260px;left:-180px}.screening-card{z-index:1;background:var(--paper);border:1px solid #816c5838;width:min(100%,620px);margin:0 auto;animation:.7s cubic-bezier(.22,1,.36,1) both card-in;position:relative;box-shadow:0 32px 90px #2f241d21}.card-header{text-align:center;background:linear-gradient(135deg,#b3926114,transparent 38%),var(--ink);padding:49px 54px 44px;position:relative;overflow:hidden}.card-header:after{content:"";background:#cbbba238;width:68px;height:1px;position:absolute;bottom:22px;right:28px;transform:rotate(-45deg)}.header-orbit{border:1px solid #b3926121;border-radius:50%;width:280px;height:280px;position:absolute;top:-118px;right:-88px}.header-orbit:before,.header-orbit:after{content:"";border-radius:inherit;border:1px solid #b392611a;position:absolute;inset:32px}.header-orbit:after{inset:67px}.brand{color:var(--taupe);letter-spacing:.3em;text-transform:uppercase;margin:0 0 18px;font-size:10px;font-weight:400;position:relative}.card-title{color:var(--cream);letter-spacing:-.025em;margin:0;font-family:Cormorant Garamond,serif;font-size:clamp(2.15rem,7vw,2.75rem);font-weight:300;line-height:.98;position:relative}.card-title span{color:#c9a36d;margin-top:10px;font-size:.92em;font-style:italic;display:block}.gold-rule{background:var(--gold);opacity:.75;width:46px;height:1px;margin:23px auto 18px}.card-subtitle{color:#a99d94;letter-spacing:.055em;margin:0;font-size:11px;line-height:1.8}.physician-badge{text-align:left;background:#b3926117;border:1px solid #b3926147;grid-template-columns:auto 1fr;align-items:center;width:fit-content;max-width:100%;margin:22px auto 0;padding:11px 16px;display:grid;position:relative}.physician-badge span{color:var(--taupe);letter-spacing:.16em;text-transform:uppercase;border-right:1px solid #cbbba238;grid-row:1/3;margin-right:13px;padding-right:13px;font-size:8px;font-weight:500}.physician-badge strong{color:#e3d3b5;letter-spacing:.035em;font-size:10px;font-weight:500}.physician-badge small{color:#8e8178;letter-spacing:.035em;margin-top:2px;font-size:8px}.card-body{padding:44px 54px 49px}.notice{color:#67523b;border-left:3px solid var(--gold);background:var(--amber-wash);margin-bottom:35px;padding:16px 19px 16px 21px;font-size:12px;font-weight:400;line-height:1.72}.notice span{color:var(--gold-dark);letter-spacing:.16em;text-transform:uppercase;margin-bottom:3px;font-size:9px;font-weight:500;display:block}.honeypot{display:none}.section-label{color:var(--muted);letter-spacing:.22em;text-transform:uppercase;border-bottom:1px solid var(--border);align-items:center;gap:10px;margin-bottom:22px;padding-bottom:11px;font-size:9px;font-weight:500;display:flex}.section-label span{color:var(--gold);letter-spacing:0;font-family:Cormorant Garamond,serif;font-size:15px;font-style:italic}.section-spaced{margin-top:13px}.form-row{grid-template-columns:1fr 1fr;gap:17px;display:grid}.form-group{margin:0 0 23px}label,legend{color:var(--deep-taupe);letter-spacing:.145em;text-transform:uppercase;margin-bottom:8px;padding:0;font-size:9px;font-weight:500;line-height:1.5;display:block}.required{color:var(--gold)}input,select,textarea{border:1px solid var(--border);width:100%;color:var(--ink);background:#ffffff4d;border-radius:0;outline:none;font-family:Jost,sans-serif;font-size:13px;font-weight:300;transition:border-color .18s,box-shadow .18s,background .18s}input,select{min-height:47px;padding:11px 15px}textarea{resize:vertical;min-height:112px;padding:13px 15px;line-height:1.65}input::placeholder,textarea::placeholder{color:#b7ada4}input:focus,select:focus,textarea:focus{border-color:var(--gold);background:#fffdfa;box-shadow:0 0 0 3px #b392611c}select{cursor:pointer;appearance:none;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' stroke='%23816c58' stroke-width='1.35' fill='none' stroke-linecap='round'/%3E%3C/svg%3E");background-position:right 16px center;background-repeat:no-repeat;padding-right:42px}.choice-fieldset{border:0;min-width:0;padding:0}.choice-group{flex-wrap:wrap;gap:9px;display:flex}.choice-item{cursor:pointer;border:1px solid var(--border);background:#ffffff38;flex:1;align-items:center;min-width:105px;min-height:45px;margin:0;padding:10px 13px;transition:border-color .18s,background .18s,transform .18s;display:flex}.choice-item:hover{border-color:#c3ab8d;transform:translateY(-1px)}.choice-item:has(input:checked){border-color:var(--gold);background:var(--amber-wash)}.choice-item input{width:14px;min-width:14px;min-height:14px;accent-color:var(--gold-dark);box-shadow:none;margin:0 9px 0 0;padding:0}.choice-item span{color:var(--text);letter-spacing:0;text-transform:none;font-size:12px;font-weight:300;line-height:1.35}.error-message{color:var(--error);background:#9b4f420e;border:1px solid #9b4f4240;margin:3px 0 16px;padding:13px 15px;font-size:11px;font-weight:400;line-height:1.55}.error-message span{font-weight:500}.submit-button{cursor:pointer;width:100%;min-height:52px;color:var(--cream);letter-spacing:.22em;text-transform:uppercase;border:1px solid var(--ink);background:var(--ink);justify-content:center;align-items:center;gap:9px;margin-top:5px;padding:15px 28px;font-size:10px;font-weight:500;transition:background .18s,border-color .18s,transform .18s;display:flex}.submit-button:hover:not(:disabled){border-color:var(--gold-dark);background:var(--gold-dark);transform:translateY(-2px)}.submit-button:active:not(:disabled){transform:translateY(0)}.submit-button:focus-visible{outline-offset:3px;outline:3px solid #b3926159}.submit-button:disabled{cursor:wait;opacity:.72}.form-footer{color:var(--muted);text-align:center;justify-content:center;align-items:flex-start;gap:8px;margin-top:19px;font-size:10px;line-height:1.65;display:flex}.form-footer svg{color:var(--gold);flex:none;margin-top:1px}.form-footer a,.phone-link{color:var(--gold-dark);font-weight:400;text-decoration:none}.form-footer a:hover,.phone-link:hover{text-decoration:underline}.success-state{text-align:center;padding:55px 13px 45px;animation:.52s cubic-bezier(.22,1,.36,1) both success-in}.success-icon{width:62px;height:62px;color:var(--gold-dark);background:var(--amber-wash);border:1px solid #b3926152;border-radius:50%;place-items:center;margin:0 auto 23px;display:grid}.success-state .eyebrow{color:var(--gold-dark);letter-spacing:.2em;text-transform:uppercase;margin:0 0 11px;font-size:9px;font-weight:500}.success-state h2{color:var(--ink);margin:0 0 14px;font-family:Cormorant Garamond,serif;font-size:32px;font-weight:400;line-height:1.1}.success-state>p:not(.eyebrow){max-width:410px;color:var(--muted);margin:0 auto 24px;font-size:13px;line-height:1.8}.phone-link{letter-spacing:.04em;font-size:11px}.page-footer{z-index:1;color:#7e7066;letter-spacing:.18em;text-align:center;text-transform:uppercase;justify-content:center;align-items:center;gap:13px;margin-top:28px;font-size:8px;font-weight:400;display:flex;position:relative}.page-footer span{background:var(--gold);border-radius:50%;width:3px;height:3px}@keyframes card-in{0%{opacity:0;transform:translateY(18px)}to{opacity:1;transform:translateY(0)}}@keyframes success-in{0%{opacity:0;transform:translateY(8px)}to{opacity:1;transform:translateY(0)}}@media(max-width:620px){.page-wrap{padding:20px 12px 28px}.card-header{padding:40px 25px 35px}.card-body{padding:34px 25px 39px}.physician-badge{text-align:center;grid-template-columns:1fr}.physician-badge span{border-bottom:1px solid #cbbba238;border-right:0;grid-row:auto;margin:0 0 7px;padding:0 0 7px}.form-row{grid-template-columns:1fr;gap:0}.choice-group{flex-direction:column}.choice-item{width:100%}.page-footer{line-height:1.6}}@media(prefers-reduced-motion:reduce){*,:before,:after{scroll-behavior:auto!important;transition-duration:.01ms!important;animation-duration:.01ms!important;animation-iteration-count:1!important}}@property --tw-rotate-x{syntax:"*";inherits:false}@property --tw-rotate-y{syntax:"*";inherits:false}@property --tw-rotate-z{syntax:"*";inherits:false}@property --tw-skew-x{syntax:"*";inherits:false}@property --tw-skew-y{syntax:"*";inherits:false}@property --tw-font-weight{syntax:"*";inherits:false}@property --tw-blur{syntax:"*";inherits:false}@property --tw-brightness{syntax:"*";inherits:false}@property --tw-contrast{syntax:"*";inherits:false}@property --tw-grayscale{syntax:"*";inherits:false}@property --tw-hue-rotate{syntax:"*";inherits:false}@property --tw-invert{syntax:"*";inherits:false}@property --tw-opacity{syntax:"*";inherits:false}@property --tw-saturate{syntax:"*";inherits:false}@property --tw-sepia{syntax:"*";inherits:false}@property --tw-drop-shadow{syntax:"*";inherits:false}@property --tw-drop-shadow-color{syntax:"*";inherits:false}@property --tw-drop-shadow-alpha{syntax:"<percentage>";inherits:false;initial-value:100%}@property --tw-drop-shadow-size{syntax:"*";inherits:false}
