@import url('https://fonts.googleapis.com/css2?family=Cormorant+Garamond:ital,wght@0,300..700;1,300..700&family=Inter:ital,opsz,wght@0,14..32,100..900;1,14..32,100..900&display=swap');

/* Form 2 Ã¢â‚¬â€ pixel-aligned to office intake: #f8f7fa panels, #6a2c5a Times headers, uppercase Arial labels */
:root {
  --page-bg: #ffffff;
  --section-bg: #f8f7fa;
  --section-border: #e8e6ed;
  --heading-color: #6a2c5a;
  --text: #000000;
  --label: #000000;
  --input-border: #d9d7de;
  --input-bg: #ffffff;
  --underline: #333333;
  --footer-text: #333333;
}

*,
*::before,
*::after {
  box-sizing: border-box;
}

body {
  margin: 0;
  background: var(--page-bg);
  font-size: 12px;
  color: var(--text);
  line-height: 1.4;
  font-family: "Inter", sans-serif;
  font-optical-sizing: auto;
  font-style: normal;
}


.form-block {
  background: #f5f0f4;
  border: 1px solid #cdcbce;
  border-radius: 6px;
  padding: 22px 26px 26px;
  margin-bottom: 18px;
}

.form-heading {
  font-family: "Cormorant Garamond", serif;
  font-size: 30px;
  font-weight: 700;
  color: #5C225F;
  margin: 0 0 18px;
  line-height: 1.25;
  text-transform: none;
}

.form-heading .confidential {
  font-family: "Cormorant Garamond", serif;
  font-size: 30px;
  font-weight: 400;
  font-style: italic;
  margin-left: 8px;
  display: inline;
  white-space: normal;
}

.form-heading.dental-med {
  margin-bottom: 16px;
}

/* Rows Ã¢â‚¬â€ consistent vertical rhythm */
.row-3 {
  display: grid;
  grid-template-columns: 1fr 1fr 1fr;
  gap: 14px 22px;
  margin-bottom: 14px;
}

.row-4 {
  display: grid;
  grid-template-columns: 171px 1fr 1fr 1fr;
  gap: 14px 22px;
  align-items: end;
  margin-bottom: 14px;
}

@media (max-width: 880px) {
  .row-3,
  .row-4 {
    grid-template-columns: 1fr;
  }
}

.field label,
.wide-field label {
  display: block;
  font-family: "Inter", sans-serif;
  font-size: 16px;
  font-weight: 500;
  margin-bottom: 5px;
  color: var(--label);
  text-transform: uppercase;
  letter-spacing: 0.01em;
}

.field input[type="text"],
.field input[type="email"],
.field input[type="tel"],
.wide-field input[type="text"],
.wide-field input[type="email"],
.wide-field input[type="tel"] {
  width: 100%;
  height: 44px;
  border: 1px solid var(--input-border);
  background: var(--input-bg);
  padding: 4px 8px;
  font-family: "Inter", sans-serif;
  font-size: 16px;
  color: var(--text);
  border-radius: 2px;
  outline: none;
}

.field input:focus,
.wide-field input:focus {
  border-color: #a090a8;
}

.field input.line-under,
.wide-field input.line-under {
  height: auto;
  min-height: 26px;
  border: none;
  border-bottom: 1px solid var(--underline);
  background: transparent;
  border-radius: 0;
  padding: 2px 4px 4px;
  box-shadow: none;
}

.field input.line-under:focus,
.wide-field input.line-under:focus {
  border-bottom-color: var(--heading-color);
  box-shadow: none;
}

.gender-field .gender-wrap {
  display: flex;
  align-items: center;
  gap: 20px;
  min-height: 32px;
  padding-top: 2px;
}

/* Standard-looking radios & checkboxes */
.check-inline {
  display: inline-flex !important;
  align-items: center;
  gap: 5px;
  font-family: "Inter", sans-serif;
  font-size: 16px;
  font-weight: 400;
  color: var(--text);
  cursor: pointer;
  text-transform: none;
}

.check-inline input[type="radio"],
.check-inline input[type="checkbox"] {
  width: 16px;
  height: 16px;
  margin: 0;
  flex-shrink: 0;
  accent-color: #444;
}

.inline-label {
  font-family: "Inter", sans-serif;
  font-size: 16px;
  font-weight: 500;
  color: var(--label);
  text-transform: uppercase;
  margin-right: 10px;
}

/* Paper form uses all-caps prompts for questions and section cues */
.discuss-row .inline-label,
.yesno-row .inline-label,
.women-row .inline-label,
.meds-single .inline-label {
  text-transform: uppercase;
  letter-spacing: 0.02em;
}

.responsible-row .wide-field {
  margin-bottom: 0;
}

.checkbox-row {
  display: flex;
  flex-wrap: wrap;
  align-items: center;
  gap: 6px 20px;
  margin: 30px 0px;
}

.checkbox-row .inline-label {
  margin-right: 6px;
}

.wide-field {
  margin-bottom: 14px;
}

/* Account row: wide input + relationship checkboxes on one band */
.responsible-row {
  display: grid;
  grid-template-columns: 1fr minmax(280px, auto);
  gap: 20px 28px;
  align-items: end;
  margin-bottom: 14px;
}

.responsible-row .checkbox-row {
  margin-bottom: 0;
  padding-bottom: 4px;
}

@media (max-width: 768px) {
  .responsible-row {
    grid-template-columns: 1fr;
  }
}

.line-under {
    border: none !important;
    border-bottom: 1px solid var(--underline) !important;
    background: transparent !important;
    min-height: 26px;
    padding: 2px 4px 4px !important;
    font-family: "Inter", sans-serif;
    font-size: 12px !important;
    width: 100% !important;
    outline: none;
    border-radius: 0 !important;
    color: var(--text) !important;
}

.wide-field .line-under,
.other-allergies .line-under {
  width: 100%;
}

.line-under.inline {
  width: auto;
  min-width: 180px;
  flex: 1;
  max-width: 100%;
}

/* Dental Ã¢â‚¬â€ date line */
.dental-date-line {
  display: flex;
  flex-wrap: wrap;
  align-items: baseline;
  gap: 8px 12px;
  margin-bottom: 14px;
  font-family: "Inter", sans-serif;
  font-size: 16px;
  color: var(--text);
}

.dental-date-line .prompt {
  font-weight: 400;
}

.date-slots {
  display: inline-flex;
  align-items: center;
  gap: 4px;
}

.date-slot {
    width: 36px !important;
    border: none !important;
    border-bottom: 1px solid var(--underline) !important;
    background: transparent !important;
    font-family: "Inter", sans-serif;
    font-size: 12px !important;
    text-align: center;
    padding: 2px 0 4px !important;
    outline: none;
    border-radius: 0px !important;
}

.date-slot.year-slot {
  width: 48px;
}

.date-sep {
  color: var(--text);
  user-select: none;
}

.condition-intro, .allergy-intro {
    font-family: "Cormorant Garamond", serif;
    font-size: 30px;
    font-weight: 600;
    margin: 23px 0 15px;
    color: #5C225F;
    line-height: 1.35;
    margin-bottom: 12px !important;
}

.cols-3 {
  display: grid;
  grid-template-columns: repeat(3, 1fr);
  gap: 4px 28px;
  margin-bottom: 16px;
}

@media (max-width: 800px) {
  .cols-3 {
    grid-template-columns: 1fr;
  }
}

.cond-list {
  list-style: none;
  margin: 0px;
  padding: 0;
}

.cond-list li {
  margin-bottom: 16px;
}

.cond-list label {
  display: flex;
  align-items: flex-start;
  gap: 7px;
  font-family: "Inter", sans-serif;
  font-size: 16px;
  font-weight: 400;
  color: var(--text);
  cursor: pointer;
  line-height: 1.35;
  text-transform: none;
}

.cond-list input[type="checkbox"] {
  margin-top: 2px;
  flex-shrink: 0;
  width: 15px;
  height: 15px;
  accent-color: #444;
}

.discuss-row,
.yesno-row {
  display: flex;
  flex-wrap: wrap;
  align-items: center;
  gap: 8px 16px;
  margin-top: 21px;
  margin-bottom: 4px;
}

.yesno-row .group {
  display: flex;
  flex-wrap: wrap;
  align-items: center;
  gap: 6px 14px;
}

.physician-condition-group {
  flex: 1;
  min-width: 200px;
  display: flex;
  flex-wrap: wrap;
  align-items: center;
  gap: 6px 12px;
}

.yesno-row .inline-label {
  margin-right: 4px;
}

.radio-upper .check-inline {
  font-weight: 400;
  text-transform: uppercase;
  font-size: 16px;
  letter-spacing: 0.03em;
}

.med-top {
  display: grid;
  grid-template-columns: 1fr 1fr 1fr;
  gap: 14px 24px;
  margin-bottom: 14px;
}

@media (max-width: 768px) {
  .med-top {
    grid-template-columns: 1fr;
  }
}

.allergy-pills {
  display: flex;
  flex-wrap: wrap;
  gap: 10px 12px;
  align-items: center;
  margin-bottom: 12px;
}

.allergy-pill {
    display: inline-flex;
    align-items: center;
    gap: 5px;
    cursor: pointer;
    margin: 0;
    position: relative;
}

/*.allergy-pill input {
  position: absolute;
  opacity: 0;
  width: 0;
  height: 0;
}*/

.allergy-pill .pill-text {
  display: inline-block;
  /* border: 1px solid var(--underline); */
  border-radius: 999px;
  padding:0px;
  /* background: var(--input-bg); */
  font-family: "Inter", sans-serif;
  font-size: 16px;
  color: var(--text);
  line-height: 1.2;
  user-select: none;
}

.allergy-pill input:focus-visible + .pill-text {
  outline: 2px solid var(--heading-color);
  outline-offset: 2px;
}

/*.allergy-pill input:checked + .pill-text {
  border-color: var(--heading-color);
  background: #f0eaef;
  box-shadow: 0 0 0 1px var(--heading-color);
}*/

.other-allergies {
  display: flex;
  align-items: center;
  gap: 8px 12px;
  margin-bottom: 14px;
}

.other-allergies .inline-label {
  flex-shrink: 0;
}

.meds-single {
  margin: 10px 0 14px;
}

.meds-single .inline-label {
  display: block;
  margin-bottom: 6px;
}

.women-row {
  display: flex;
  flex-wrap: wrap;
  gap: 14px 22px;
  align-items: center;
  margin: 16px 0;
}

.women-row .group {
  display: flex;
  flex-wrap: wrap;
  align-items: center;
  gap: 6px 12px;
}

.footer-legal {
  font-family: "Inter", sans-serif;
  font-size: 14px;
  line-height: 1.45;
  color: var(--footer-text);
  margin: 22px 0 16px;
  text-align: justify;
  text-justify: inter-word;
}

.signature-block {
  margin-top: 8px;
}

.signature-line {
  display: flex;
  flex-wrap: wrap;
  align-items: flex-end;
  gap: 12px 20px;
  font-family: "Inter", sans-serif;
  font-size: 14px;
  font-weight: 700;
  text-transform: uppercase;
  color: var(--label);
  letter-spacing: 0.02em;
}

.signature-line .sig-part {
    /* flex: 1; */
    min-width: 220px;
    display: flex;
    flex-direction: column;
    gap: 4px;
    max-width: 430px;
}

.signature-line .date-part {
    flex: 0 0 280px;
    display: flex;
    flex-direction: column;
    gap: 4px;
}

.signature-line input.line-under {
  width: 100%;
}

/* Canvas signature (Form 2 web) */
.cf-signature-pad-wrap {
  display: flex;
  flex-direction: column;
  align-items: flex-start;
  gap: 8px;
  margin-top: 4px;
}

#cf-signature-pad {
  display: block;
  max-width: 100%;
  border: 1px solid var(--input-border);
  border-radius: 4px;
  background: var(--input-bg);
  cursor: crosshair;
}

.cf-signature-clear {
  font-family: "Inter", sans-serif;
  font-size: 12px;
  font-weight: 600;
  text-transform: uppercase;
  letter-spacing: 0.04em;
  padding: 6px 14px;
  border: 1px solid var(--input-border);
  border-radius: 4px;
  background: var(--section-bg);
  color: var(--label);
  cursor: pointer;
}

.cf-signature-clear:hover {
  background: #eceaf0;
}

.cf-signature-img {
  display: block;
  max-width: 100%;
  height: auto;
  margin-top: 4px;
  border-bottom: 1px solid var(--underline);
}

.cf-signature-line-empty {
  display: inline-block;
  min-width: 120px;
  margin-top: 4px;
  border-bottom: 1px solid var(--underline);
  color: #999;
}

.actions {
  margin-top: 28px;
  display: flex;
  justify-content: flex-end;
}

.submit-btn {
    width: 100%;
    height: 50px;
    border: 1px solid #c5c5c5;
    background: #5c225f;
    color: #ffffff;
    font-family: "Inter", sans-serif;
    font-size: 18px;
    letter-spacing: 1px;
    font-weight: 600;
    text-transform: uppercase;
    cursor: pointer;
    border-radius: 2px;
    margin: auto;
    margin-bottom: 42px;
}

.submit-btn:hover {
    background: #0b0b0b;
    border-color: black;
}

.gender-field label {
    margin-bottom: 13px;
}

.custom-form-success {
  background: #eafaf1;
  border: 1px solid #28a745;
  color: #155724;
  padding: 14px 18px;
  border-radius: 6px;
  font-size: 14px;
  line-height: 1.5;
  margin-top: 15px;
  display: flex;
  align-items: center;
  gap: 10px;
  animation: fadeInUp 0.4s ease;
}

/* Optional icon */
.custom-form-success::before {
  content: "✔";
  font-size: 16px;
  color: #28a745;
  font-weight: bold;
}

canvas#cf-signature-pad {
    height: 130px !important;
}

/* Smooth entry animation */
@keyframes fadeInUp {
  from {
    opacity: 0;
    transform: translateY(8px);
  }
  to {
    opacity: 1;
    transform: translateY(0);
  }
}