._root_9ptxl_1{color:#f3eee7;--lightningcss-light: ;--lightningcss-dark:initial;color-scheme:dark;background:#090a0d;min-height:100vh;font-family:Arial,sans-serif;font-size:16px;line-height:1.7}._shell_9ptxl_1{max-width:1180px;margin:auto;padding:28px 30px 48px}._header_9ptxl_1{border-bottom:1px solid #373229;justify-content:space-between;align-items:center;gap:20px;padding-bottom:23px;display:flex}._brand_9ptxl_1{color:#eddfc6;letter-spacing:.8px;direction:ltr;align-items:center;gap:12px;font-size:14px;font-weight:700;text-decoration:none;display:flex}._brand_9ptxl_1 small{color:#baaa90;letter-spacing:2px;font-size:10px;font-weight:400;display:block}._header_9ptxl_1 nav{align-items:center;gap:24px;display:flex}._header_9ptxl_1 nav>a{color:#c8ba9f;font-size:14px;text-decoration:none}._root_9ptxl_1 button{cursor:pointer}._intro_9ptxl_1{max-width:780px;padding:55px 0 35px}._intro_9ptxl_1>span,._eyebrow_9ptxl_1{color:#d3b782;letter-spacing:1.8px;font-size:12px}._intro_9ptxl_1 h1{margin:12px 0 17px;font-family:Georgia,serif;font-size:clamp(32px,4.5vw,54px);font-weight:400;line-height:1.25}._root_9ptxl_1[dir=rtl] ._intro_9ptxl_1 h1{font-family:Arial,sans-serif;font-weight:500;line-height:1.5}._intro_9ptxl_1 p{color:#bdb8af;max-width:650px;font-size:18px}._layout_9ptxl_1{grid-template-columns:minmax(0,1.8fr) minmax(240px,1fr);align-items:start;gap:32px;display:grid}._panel_9ptxl_1{background:#141519;border:1px solid #39362e;border-radius:18px;padding:30px}._panel_9ptxl_1 fieldset{border:0;min-width:0;margin:0;padding:0}._panel_9ptxl_1 legend{margin-bottom:16px;font-size:19px}._clinics_9ptxl_1{grid-template-columns:1fr 1fr;gap:12px;margin-bottom:26px;display:grid}._clinics_9ptxl_1 label{cursor:pointer;background:#101115;border:1px solid #3a3730;border-radius:10px;align-items:flex-start;gap:9px;padding:17px 12px;display:flex}._clinics_9ptxl_1 input{accent-color:#caa465;margin-top:5px}._clinics_9ptxl_1 svg{color:#caa465;flex-shrink:0;margin-top:4px}._clinics_9ptxl_1 small{color:#b6b1a8;margin-top:8px;font-size:12px;line-height:1.6;display:block}._clinics_9ptxl_1 ._selected_9ptxl_1{background:#29241b;border-color:#caa465}._field_9ptxl_1{margin-top:20px;font-size:15px;display:block}._field_9ptxl_1 input,._field_9ptxl_1 textarea{max-width:100%;min-height:46px;margin-top:8px;font-size:16px;color:#f4eee4!important;background:#0d0e12!important;border-color:#49453d!important}._field_9ptxl_1 textarea{min-height:92px}._row_9ptxl_1{grid-template-columns:1fr 1fr;gap:18px;display:grid}._help_9ptxl_1{color:#b6b1a8;margin:9px 0 0;font-size:13px;line-height:1.7}._consent_9ptxl_1{color:#d2c9ba;align-items:flex-start;gap:12px;margin:26px 0;font-size:14px;display:flex}._consent_9ptxl_1 button{flex-shrink:0;margin-top:5px}._consent_9ptxl_1 a{color:#dbbd85;text-decoration:underline}._submit_9ptxl_1{width:100%;min-height:48px;font-size:16px;color:#15110b!important;background:#d0ad70!important}._submit_9ptxl_1:disabled{opacity:.5}._error_9ptxl_1{color:#ffb6a5;background:#2e1b18;border-radius:8px;padding:12px}._honeypot_9ptxl_1{width:1px;height:1px;position:absolute;left:-10000px;overflow:hidden}._aside_9ptxl_1{gap:25px;display:grid}._aside_9ptxl_1>div{background:#101114;border:1px solid #353128;border-radius:16px;padding:26px}._aside_9ptxl_1 h2{margin:10px 0;font-family:Georgia,serif;font-size:24px;font-weight:400}._root_9ptxl_1[dir=rtl] ._aside_9ptxl_1 h2{font-family:Arial,sans-serif}._aside_9ptxl_1 p,._aside_9ptxl_1 li{color:#bcb6ad;font-size:15px}._aside_9ptxl_1 ol{padding-inline-start:22px}._aside_9ptxl_1 li{padding:7px 0}._aside_9ptxl_1 hr{border:0;border-top:1px solid #39342c;margin:25px 0}._phone_9ptxl_1{color:#e7c88f;align-items:center;gap:10px;font-size:24px;text-decoration:none;display:flex}._link_9ptxl_1{color:#dbbd85;align-items:center;gap:8px;margin-top:18px;display:flex}._footer_9ptxl_1{color:#a8a296;justify-content:space-between;gap:20px;padding-top:34px;font-size:13px;display:flex}._footer_9ptxl_1 p{max-width:750px}._footer_9ptxl_1 a{white-space:nowrap;color:#dbbd85}._success_9ptxl_1{outline:none;padding:20px 0}._success_9ptxl_1>svg{color:#ceaf79}._success_9ptxl_1 h2{margin:16px 0;font-size:29px}._success_9ptxl_1 p{color:#c9c0b4}._success_9ptxl_1 dl{border-block:1px solid #484035;grid-template-columns:1fr 1fr;gap:12px;padding:20px 0;display:grid}._success_9ptxl_1 dt{color:#a8a296}._success_9ptxl_1 dd{margin:0}._success_9ptxl_1 h3{margin-top:24px;font-size:18px}._root_9ptxl_1 a:focus-visible,._root_9ptxl_1 input:focus-visible{outline-offset:4px;outline:2px solid #edc983}@media (width<=800px){._layout_9ptxl_1{grid-template-columns:1fr}._intro_9ptxl_1{padding-top:36px}._aside_9ptxl_1{grid-template-columns:1fr 1fr}._aside_9ptxl_1>._link_9ptxl_1{grid-column:1/-1}}@media (width<=520px){._shell_9ptxl_1{padding:18px 16px 30px}._header_9ptxl_1 nav>a{display:none}._header_9ptxl_1 nav{gap:8px}._brand_9ptxl_1{gap:7px;font-size:11px}._brand_9ptxl_1 img{width:36px;height:36px}._brand_9ptxl_1 small{letter-spacing:1px;font-size:9px}._panel_9ptxl_1{padding:20px}._clinics_9ptxl_1,._row_9ptxl_1,._aside_9ptxl_1{grid-template-columns:1fr}._intro_9ptxl_1{padding-bottom:24px}._intro_9ptxl_1 p{font-size:16px}._footer_9ptxl_1{display:block}._phone_9ptxl_1{font-size:23px}}._header_9ptxl_1 button{color:#e4c798!important;background:#17181c!important;border-color:#484238!important}._consent_9ptxl_1 [data-slot=checkbox]{background:#1f2025;border-color:#a98a54}._consent_9ptxl_1 [data-state=checked]{color:#15110b;background:#caa465}._field_9ptxl_1 [data-slot=native-select-wrapper]{width:100%;margin-top:8px}._field_9ptxl_1 select{min-height:48px;padding-inline:13px 36px;font-size:16px;color:#f4eee4!important;background:#0d0e12!important;border-color:#49453d!important}._root_9ptxl_1[dir=rtl] ._field_9ptxl_1 select{padding-inline:13px 36px}