.birth-intake-form-module__YTQ25q__page{--paper:#f4eedf;--paper-deep:#e8ddc7;--ink:#17271f;--ink-soft:#56635b;--cinnabar:#a4362b;--cinnabar-dark:#75241d;--jade:#537c69;--jade-pale:#dbe4d7;--rule:#17271f33;width:min(100% - 2rem,74rem);min-height:100vh;color:var(--ink);margin:0 auto;padding:clamp(2rem,5vw,5rem) 0;font-family:Songti SC,STSong,Noto Serif CJK SC,Source Han Serif SC,serif;position:relative}.birth-intake-form-module__YTQ25q__page:before{z-index:-1;content:"";background:linear-gradient(90deg, transparent 49.9%, #a4362b0b 50%, transparent 50.1%), repeating-linear-gradient(0deg, #17271f06 0 1px, transparent 1px 7px), radial-gradient(circle at 15% 8%, #537c6921, transparent 28rem), var(--paper);position:fixed;inset:0}.birth-intake-form-module__YTQ25q__masthead{border-bottom:1px solid var(--ink);padding:0 0 clamp(2rem,4vw,3.5rem);position:relative}.birth-intake-form-module__YTQ25q__kicker{color:var(--cinnabar);letter-spacing:.28em;margin-bottom:1.1rem;font-family:fangsong,STFangsong,serif;font-size:.78rem}.birth-intake-form-module__YTQ25q__titleRow{justify-content:space-between;align-items:flex-start;gap:2rem;display:flex}.birth-intake-form-module__YTQ25q__titleRow h1{letter-spacing:-.08em;margin:0;font-size:clamp(3.2rem,9vw,7.6rem);font-weight:500;line-height:.86}.birth-intake-form-module__YTQ25q__subtitle{color:var(--jade);letter-spacing:.38em;margin:1.25rem 0 0 .15em;font-size:clamp(1rem,2.4vw,1.35rem)}.birth-intake-form-module__YTQ25q__seal{border:2px solid var(--cinnabar);width:4.4rem;height:4.4rem;color:var(--cinnabar);letter-spacing:.08em;writing-mode:vertical-rl;flex:none;place-items:center;font-family:fangsong,STFangsong,serif;font-size:1.25rem;display:grid}.birth-intake-form-module__YTQ25q__lede{max-width:47rem;color:var(--ink-soft);margin:2rem 0 0;font-size:1rem;line-height:1.9}.birth-intake-form-module__YTQ25q__form{border-bottom:1px solid var(--ink);grid-template-columns:minmax(0,1.25fr) minmax(18rem,.75fr);display:grid}.birth-intake-form-module__YTQ25q__primaryColumn,.birth-intake-form-module__YTQ25q__secondaryColumn{padding:clamp(2rem,4vw,3.5rem) clamp(1rem,3vw,2.75rem)}.birth-intake-form-module__YTQ25q__primaryColumn{border-right:1px solid var(--ink);padding-left:0}.birth-intake-form-module__YTQ25q__secondaryColumn{padding-right:0}.birth-intake-form-module__YTQ25q__sectionHeading{align-items:flex-start;gap:.9rem;margin:0 0 1.5rem;display:flex}.birth-intake-form-module__YTQ25q__sectionHeading>span{border:1px solid var(--cinnabar);width:1.8rem;height:1.8rem;color:var(--cinnabar);flex:none;place-items:center;font-size:.78rem;display:grid}.birth-intake-form-module__YTQ25q__sectionHeading h2{letter-spacing:.12em;margin:0;font-size:1.15rem;font-weight:600}.birth-intake-form-module__YTQ25q__sectionHeading p{color:var(--ink-soft);margin:.35rem 0 0;font-family:fangsong,STFangsong,serif;font-size:.88rem;line-height:1.55}.birth-intake-form-module__YTQ25q__field{min-width:0;margin-bottom:1.3rem}.birth-intake-form-module__YTQ25q__field label,.birth-intake-form-module__YTQ25q__advanced label{color:var(--ink-soft);letter-spacing:.08em;margin-bottom:.45rem;font-size:.78rem;display:block}.birth-intake-form-module__YTQ25q__field input,.birth-intake-form-module__YTQ25q__advanced select{border:0;border-bottom:1px solid var(--rule);width:100%;min-height:2.85rem;color:var(--ink);font:inherit;background:#fffcf48c;border-radius:0;outline:none;padding:.62rem .7rem}.birth-intake-form-module__YTQ25q__field input:focus,.birth-intake-form-module__YTQ25q__advanced select:focus{border-bottom-color:var(--jade);box-shadow:inset 0 -2px 0 var(--jade)}.birth-intake-form-module__YTQ25q__field input[aria-invalid=true],.birth-intake-form-module__YTQ25q__advanced select[aria-invalid=true]{border-bottom-color:var(--cinnabar);box-shadow:inset 0 -2px 0 var(--cinnabar)}.birth-intake-form-module__YTQ25q__field input::placeholder{color:#56635b94}.birth-intake-form-module__YTQ25q__twoFields{grid-template-columns:repeat(2,minmax(0,1fr));gap:1rem;display:grid}.birth-intake-form-module__YTQ25q__error{color:var(--cinnabar-dark);margin:.4rem 0 0;font-family:fangsong,STFangsong,serif;font-size:.78rem}.birth-intake-form-module__YTQ25q__precision{border:0;flex-wrap:wrap;gap:.55rem;margin:0 0 2.8rem;padding:0;display:flex}.birth-intake-form-module__YTQ25q__precision legend{width:100%;color:var(--ink-soft);letter-spacing:.08em;margin-bottom:.4rem;font-size:.78rem}.birth-intake-form-module__YTQ25q__precision label{cursor:pointer;position:relative}.birth-intake-form-module__YTQ25q__precision input{opacity:0;pointer-events:none;position:absolute}.birth-intake-form-module__YTQ25q__precision span{border:1px solid var(--rule);min-width:4.7rem;color:var(--ink-soft);text-align:center;padding:.55rem .9rem;display:block}.birth-intake-form-module__YTQ25q__precision input:checked+span{border-color:var(--jade);background:var(--jade-pale);color:var(--ink)}.birth-intake-form-module__YTQ25q__precision input:focus-visible+span{outline:2px solid var(--cinnabar);outline-offset:2px}.birth-intake-form-module__YTQ25q__privacy,.birth-intake-form-module__YTQ25q__residence{border-bottom:1px solid var(--rule);margin-bottom:2.6rem;padding-bottom:2.2rem}.birth-intake-form-module__YTQ25q__privacy>p{color:var(--ink-soft);margin:.6rem 0;font-family:fangsong,STFangsong,serif;font-size:.9rem;line-height:1.65}.birth-intake-form-module__YTQ25q__advanced{border-top:1px solid var(--rule);border-bottom:1px solid var(--rule);padding:.9rem 0}.birth-intake-form-module__YTQ25q__advanced summary{cursor:pointer;color:var(--jade);letter-spacing:.08em;font-size:.9rem}.birth-intake-form-module__YTQ25q__advanced[open] summary{margin-bottom:1rem}.birth-intake-form-module__YTQ25q__submitRow{border-top:1px solid var(--ink);grid-column:1/-1;justify-content:space-between;align-items:center;gap:2rem;padding:2rem 0;display:flex}.birth-intake-form-module__YTQ25q__submitRow div{gap:.3rem;display:grid}.birth-intake-form-module__YTQ25q__submitRow strong{font-size:.9rem;font-weight:600}.birth-intake-form-module__YTQ25q__submitRow span{color:var(--ink-soft);font-family:fangsong,STFangsong,serif;font-size:.82rem}.birth-intake-form-module__YTQ25q__validationStatus{color:var(--jade);margin:.35rem 0 0;font-family:fangsong,STFangsong,serif;font-size:.82rem}.birth-intake-form-module__YTQ25q__submitRow button{border:1px solid var(--cinnabar-dark);background:var(--cinnabar);color:#fff9ed;cursor:pointer;letter-spacing:.13em;border-radius:0;min-width:min(100%,18rem);min-height:3.2rem;padding:.8rem 1.4rem;font-family:inherit;font-size:.95rem}.birth-intake-form-module__YTQ25q__submitRow button:focus-visible{outline:2px solid var(--jade);outline-offset:3px}.birth-intake-form-module__YTQ25q__submitRow button:disabled{border-color:var(--rule);background:var(--paper-deep);color:#56635bb3;cursor:not-allowed}.birth-intake-form-module__YTQ25q__submitRow .birth-intake-form-module__YTQ25q__retryButton{width:fit-content;min-width:0;min-height:0;color:var(--cinnabar-dark);letter-spacing:.08em;background:0 0;border:0;border-bottom:1px solid;margin-top:.35rem;padding:.15rem 0;font-family:fangsong,STFangsong,serif;font-size:.82rem}@media (max-width:760px){.birth-intake-form-module__YTQ25q__page{width:min(100% - 1.25rem,40rem);padding-top:2.3rem}.birth-intake-form-module__YTQ25q__titleRow h1{font-size:clamp(3.4rem,18vw,5.3rem)}.birth-intake-form-module__YTQ25q__seal{width:3.4rem;height:3.4rem;font-size:1rem}.birth-intake-form-module__YTQ25q__form{display:block}.birth-intake-form-module__YTQ25q__primaryColumn,.birth-intake-form-module__YTQ25q__secondaryColumn{padding:2.3rem 0}.birth-intake-form-module__YTQ25q__primaryColumn{border-right:0;border-bottom:1px solid var(--ink)}.birth-intake-form-module__YTQ25q__twoFields{grid-template-columns:1fr;gap:0}.birth-intake-form-module__YTQ25q__submitRow{padding:1.5rem 0 2rem;display:grid}.birth-intake-form-module__YTQ25q__submitRow button{width:100%}}