.patients-create-page[data-v-9c958140]{padding:.75rem;background:radial-gradient(circle at top left,#f0f9ff 0,#f9fafb 40%,#fff 100%)}@media (min-width:576px){.patients-create-page[data-v-9c958140]{padding:1rem 1.25rem}}.patients-form-card-shell[data-v-9c958140]{border-radius:1rem;border:1px solid rgba(148,163,184,.35);-webkit-box-shadow:0 14px 36px rgba(15,23,42,.16);box-shadow:0 14px 36px rgba(15,23,42,.16);background-color:#fff}.patients-form-card-body[data-v-9c958140]{padding:1.25rem 1rem}@media (min-width:768px){.patients-form-card-body[data-v-9c958140]{padding:1.75rem 1.5rem}}.patients-form-title[data-v-9c958140]{background-color:#011c61!important;-webkit-box-shadow:0 16px 36px rgba(15,23,42,.2);box-shadow:0 16px 36px rgba(15,23,42,.2);border-radius:.85rem;border:none}.patients-form-title-main[data-v-9c958140]{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center;gap:.9rem}.patients-form-title-icon[data-v-9c958140]{display:-webkit-inline-box;display:-ms-inline-flexbox;display:inline-flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center;-webkit-box-pack:center;-ms-flex-pack:center;justify-content:center;width:2rem;height:2rem;border-radius:999px;background-color:hsla(0,0%,100%,.15)}.patients-form-title-icon i[data-v-9c958140]{font-size:1.2rem}.patients-form-title-text[data-v-9c958140]{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;-webkit-box-align:start;-ms-flex-align:start;align-items:flex-start}.patients-form-title-label[data-v-9c958140]{font-size:1rem;font-weight:600;letter-spacing:.04em;text-transform:uppercase}.patients-form-title-subtitle[data-v-9c958140]{font-size:.82rem;opacity:.9;margin-top:.15rem}.patients-form-section[data-v-9c958140]{margin-bottom:1rem;border-radius:.75rem;border:1px solid rgba(148,163,184,.4);background-color:#f9fafb;padding:.9rem .9rem .75rem;-webkit-box-shadow:0 10px 24px rgba(15,23,42,.06);box-shadow:0 10px 24px rgba(15,23,42,.06)}@media (min-width:768px){.patients-form-section[data-v-9c958140]{padding:1.1rem 1.25rem .9rem}}.patients-form-section legend[data-v-9c958140]{font-size:.8rem;text-transform:uppercase;letter-spacing:.06em;font-weight:600;color:#011c61;padding:.15rem .75rem;border-radius:999px;background-color:rgba(1,28,97,.08)}.patients-form-section .form-group[data-v-9c958140]{margin-bottom:.75rem}.form-control[data-v-9c958140]{padding:.45rem .65rem;border-radius:.5rem}.select.form-control[data-v-9c958140],input[data-v-9c958140]{padding:.45rem .65rem!important}select[data-v-9c958140]{cursor:pointer}.form-control[data-v-9c958140]:focus{border-color:#011c61;-webkit-box-shadow:0 0 0 .12rem rgba(1,28,97,.25);box-shadow:0 0 0 .12rem rgba(1,28,97,.25)}.error-message[data-v-9c958140]{color:#dc2626;font-size:.8rem;margin-top:.15rem}.patients-form-actions[data-v-9c958140]{margin-top:1.5rem}.patients-form-actions .btn[data-v-9c958140]{min-width:130px;border-radius:999px;font-weight:600;-webkit-transition:all .2s ease-in-out;transition:all .2s ease-in-out}.patients-form-actions .btn-outline-primary[data-v-9c958140]{color:#011c61;border-color:#011c61}.patients-form-actions .btn-outline-primary[data-v-9c958140]:hover,.patients-form-actions .btn-primary[data-v-9c958140]{background-color:#011c61;border-color:#011c61;color:#fff}.patients-form-actions .btn-primary[data-v-9c958140]:hover{background-color:#000c30;border-color:#000c30;color:#fff}input[type=radio].demo6[data-v-9c958140]{display:none}input[type=radio].demo6+label[data-v-9c958140]{position:relative;padding-left:1.3rem}input[type=radio].demo6+label[data-v-9c958140]:after,input[type=radio].demo6+label[data-v-9c958140]:before{display:block;position:absolute;-webkit-box-sizing:border-box;box-sizing:border-box;content:"";border-radius:1rem}input[type=radio].demo6+label[data-v-9c958140]:before{bottom:0;left:0;border:1px solid #ccc;background-color:#eee;width:1rem;height:1rem}input[type=radio].demo6+label[data-v-9c958140]:after{bottom:3px;left:3px;width:calc(1rem - 6px);height:calc(1rem - 6px)}input[type=radio].demo6:checked+label[data-v-9c958140]:after{background-color:#45c28e}input[type=checkbox].demo2[data-v-9c958140]{display:none}input[type=checkbox].demo2+label[data-v-9c958140]:before{content:"";border:1px solid #45c28e;padding:0 .6rem;margin-right:.3rem}input[type=checkbox].demo2:checked+label[data-v-9c958140]:before{background-color:#45c28e}@media (max-width:767px){.insurance-table-responsive-container[data-v-9c958140]{display:block;width:100%;overflow-x:auto;-webkit-overflow-scrolling:touch;border:1px solid rgba(148,163,184,.2);border-radius:.5rem;margin-bottom:1rem}.insurance-table-responsive-container table[data-v-9c958140]{min-width:800px}}[data-v-9c958140] .select2-container{width:100%!important;display:block}[data-v-9c958140] .select2-container--default .select2-selection--single{height:38px!important;padding:.375rem .75rem;font-size:.875rem;font-weight:400;line-height:1.5;color:#495057;background-color:#fff;border:1px solid #ced4da!important;border-radius:.5rem!important;display:-webkit-box!important;display:-ms-flexbox!important;display:flex!important;-webkit-box-align:center!important;-ms-flex-align:center!important;align-items:center!important;-webkit-transition:border-color .15s ease-in-out,-webkit-box-shadow .15s ease-in-out;transition:border-color .15s ease-in-out,-webkit-box-shadow .15s ease-in-out;transition:border-color .15s ease-in-out,box-shadow .15s ease-in-out;transition:border-color .15s ease-in-out,box-shadow .15s ease-in-out,-webkit-box-shadow .15s ease-in-out}[data-v-9c958140] .select2-container--default .select2-selection--single .select2-selection__rendered{padding-left:0!important;padding-right:20px!important;color:#495057!important;line-height:1.5!important;width:100%}[data-v-9c958140] .select2-container--default .select2-selection--single .select2-selection__arrow{height:36px!important;position:absolute!important;top:1px!important;right:8px!important;width:20px!important}[data-v-9c958140] .select2-container--default.select2-container--focus .select2-selection--single,[data-v-9c958140] .select2-container--default.select2-container--open .select2-selection--single{border-color:#011c61!important;-webkit-box-shadow:0 0 0 .12rem rgba(1,28,97,.25)!important;box-shadow:0 0 0 .12rem rgba(1,28,97,.25)!important;outline:0}[data-v-9c958140] .form-control-sm+.select2-container--default .select2-selection--single,[data-v-9c958140] .table .select2-container--default .select2-selection--single{height:28px!important;padding:2px 6px!important;font-size:11px!important;border-radius:.25rem!important}[data-v-9c958140] .form-control-sm+.select2-container--default .select2-selection--single .select2-selection__rendered,[data-v-9c958140] .table .select2-container--default .select2-selection--single .select2-selection__rendered{line-height:24px!important;font-size:11px!important}[data-v-9c958140] .form-control-sm+.select2-container--default .select2-selection--single .select2-selection__arrow,[data-v-9c958140] .table .select2-container--default .select2-selection--single .select2-selection__arrow{height:26px!important;top:1px!important;right:4px!important}[data-v-9c958140] select.select2-hidden-accessible,[data-v-9c958140] select[data-select2-id]{display:none!important;position:absolute!important;opacity:0!important;pointer-events:none!important;width:0!important;height:0!important}