.intakeModal-module__1cDbhW__overlay{z-index:1000;background-color:#0000008c;justify-content:center;align-items:center;padding:16px;display:flex;position:fixed;inset:0}.intakeModal-module__1cDbhW__dialog{background-color:#fff;border-radius:16px;flex-direction:column;width:min(720px,100%);max-height:90vh;padding:32px 28px 24px;display:flex;position:relative;overflow:hidden;box-shadow:0 24px 60px #00000040}.intakeModal-module__1cDbhW__closeBtn{cursor:pointer;color:#111827;z-index:1;background:0 0;border:none;font-size:1.75rem;line-height:1;position:absolute;top:16px;right:16px}.intakeModal-module__1cDbhW__title{color:navy;outline:none;margin:0 0 16px;font-size:1.5rem}.intakeModal-module__1cDbhW__stepNav{margin-bottom:20px}.intakeModal-module__1cDbhW__stepList{justify-content:space-between;gap:4px;margin:0 0 8px;padding:0;list-style:none;display:flex}.intakeModal-module__1cDbhW__stepItem{color:#9ca3af;flex-direction:column;flex:1;align-items:center;font-size:.8rem;transition:color .2s;display:flex}.intakeModal-module__1cDbhW__stepCurrent{color:navy;font-weight:700}.intakeModal-module__1cDbhW__stepComplete{color:#059669}.intakeModal-module__1cDbhW__stepCircle{background:#fff;border:2px solid #d1d5db;border-radius:50%;justify-content:center;align-items:center;width:32px;height:32px;margin-bottom:4px;font-size:.9rem;font-weight:700;transition:all .2s;display:flex}.intakeModal-module__1cDbhW__stepCurrent .intakeModal-module__1cDbhW__stepCircle{color:#fff;background:navy;border-color:navy}.intakeModal-module__1cDbhW__stepComplete .intakeModal-module__1cDbhW__stepCircle{color:#fff;background:#059669;border-color:#059669}.intakeModal-module__1cDbhW__stepLabel{text-align:center;line-height:1.2}.intakeModal-module__1cDbhW__progressTrack{background:#e5e7eb;border-radius:2px;height:4px;overflow:hidden}.intakeModal-module__1cDbhW__progressFill{background:navy;border-radius:2px;height:100%;transition:width .3s}.intakeModal-module__1cDbhW__body{flex:1;min-height:0;padding:4px 0 12px;overflow-y:auto}.intakeModal-module__1cDbhW__fieldset{border:none;margin:0 0 20px;padding:0}.intakeModal-module__1cDbhW__legend{color:#111827;margin-bottom:6px;font-size:1.1rem;font-weight:700}.intakeModal-module__1cDbhW__hint{color:#6b7280;margin:0 0 10px;font-size:.9rem}.intakeModal-module__1cDbhW__prefillNotice{color:#1e3a8a;background:#eff6ff;border:1px solid #bfdbfe;border-radius:10px;margin:0 0 16px;padding:12px 14px;font-size:.92rem;line-height:1.45}.intakeModal-module__1cDbhW__checkGrid{grid-template-columns:repeat(auto-fill,minmax(180px,1fr));gap:10px;display:grid}.intakeModal-module__1cDbhW__checkLabel{cursor:pointer;color:#111827;-webkit-user-select:none;user-select:none;border:1px solid #d1d5db;border-radius:10px;align-items:center;gap:8px;padding:10px 14px;font-size:.95rem;transition:background .15s,border-color .15s;display:flex}.intakeModal-module__1cDbhW__checkLabel:hover{background:#f0f4ff;border-color:navy}.intakeModal-module__1cDbhW__checkbox{accent-color:navy;cursor:pointer;flex-shrink:0;width:18px;height:18px}.intakeModal-module__1cDbhW__textLabel{color:#111827;flex-direction:column;gap:4px;margin-bottom:14px;font-size:.95rem;font-weight:600;display:flex}.intakeModal-module__1cDbhW__textInput{box-sizing:border-box;border:1px solid #cbd5e1;border-radius:10px;width:100%;padding:10px 14px;font-family:inherit;font-size:1rem}.intakeModal-module__1cDbhW__textInput:focus{outline-offset:1px;border-color:navy;outline:2px solid navy}.intakeModal-module__1cDbhW__selectInput{box-sizing:border-box;background:#fff;border:1px solid #cbd5e1;border-radius:10px;width:100%;padding:10px 14px;font-family:inherit;font-size:1rem}.intakeModal-module__1cDbhW__selectInput:focus{outline-offset:1px;border-color:navy;outline:2px solid navy}.intakeModal-module__1cDbhW__row2{grid-template-columns:1fr 1fr;align-items:end;gap:12px;display:grid}.intakeModal-module__1cDbhW__row2 .intakeModal-module__1cDbhW__textLabel{margin-bottom:0}.intakeModal-module__1cDbhW__weekdayGrid{grid-template-columns:repeat(7,minmax(0,1fr));gap:8px;display:grid}.intakeModal-module__1cDbhW__weekdayButton{color:#111827;cursor:pointer;background:#fff;border:1px solid #d1d5db;border-radius:8px;padding:8px 10px;font-size:.9rem;font-weight:600;transition:border-color .15s,background .15s,color .15s}.intakeModal-module__1cDbhW__weekdayButton:hover{background:#f0f4ff;border-color:navy}.intakeModal-module__1cDbhW__weekdayButton:focus-visible{outline-offset:1px;outline:2px solid navy}.intakeModal-module__1cDbhW__weekdayButtonActive{color:#fff;background:navy;border-color:navy}.intakeModal-module__1cDbhW__boolGrid{flex-direction:column;gap:12px;display:flex}.intakeModal-module__1cDbhW__toggleLabel{cursor:pointer;border:1px solid #d1d5db;border-radius:10px;justify-content:space-between;align-items:center;gap:12px;padding:10px 14px;display:flex}.intakeModal-module__1cDbhW__toggleLabel:hover{background:#f9fafb}.intakeModal-module__1cDbhW__toggleText{color:#111827;font-size:.95rem}.intakeModal-module__1cDbhW__toggleTrack{background:#d1d5db;border-radius:13px;flex-shrink:0;width:48px;height:26px;transition:background .2s;position:relative}.intakeModal-module__1cDbhW__toggleTrack[data-on=true]{background:navy}.intakeModal-module__1cDbhW__toggleBtn{cursor:pointer;background:#fff;border:none;border-radius:50%;width:22px;min-width:0;height:22px;min-height:0;padding:0;transition:transform .2s;position:absolute;top:2px;left:2px;box-shadow:0 1px 3px #0003}.intakeModal-module__1cDbhW__toggleTrack[data-on=true] .intakeModal-module__1cDbhW__toggleBtn{transform:translate(22px)}.intakeModal-module__1cDbhW__srOnly{clip:rect(0, 0, 0, 0);white-space:nowrap;border-width:0;width:1px;height:1px;margin:-1px;padding:0;position:absolute;overflow:hidden}.intakeModal-module__1cDbhW__reviewSection{padding:4px 0}.intakeModal-module__1cDbhW__reviewHeading{color:#111827;margin:0 0 12px;font-size:1.1rem}.intakeModal-module__1cDbhW__reviewList{grid-template-columns:1fr 1fr;gap:6px 16px;font-size:.95rem;display:grid}.intakeModal-module__1cDbhW__reviewList dt{color:#374151;font-weight:600}.intakeModal-module__1cDbhW__reviewList dd{color:#111827;margin:0}.intakeModal-module__1cDbhW__error{color:#dc2626;margin:8px 0 0;font-size:.9rem}.intakeModal-module__1cDbhW__footer{border-top:1px solid #e5e7eb;align-items:center;gap:12px;margin-top:4px;padding-top:16px;display:flex}@media (max-width:600px){.intakeModal-module__1cDbhW__dialog{border-radius:12px;padding:24px 16px 16px}.intakeModal-module__1cDbhW__checkGrid{grid-template-columns:1fr}.intakeModal-module__1cDbhW__weekdayGrid{grid-template-columns:repeat(4,minmax(0,1fr))}.intakeModal-module__1cDbhW__stepLabel{display:none}.intakeModal-module__1cDbhW__reviewList,.intakeModal-module__1cDbhW__row2{grid-template-columns:1fr}}