.ProsthesesForm_form__5GwUc{position:relative;width:100%;border-radius:.75rem;box-shadow:0 4px 15px 0 rgba(74,98,144,.2);background:linear-gradient(45deg,#274eac,#4972d1);padding:3.75rem 1.75rem;z-index:1}.ProsthesesForm_decor__aiOmd{position:absolute;top:0;left:0;right:0}.ProsthesesForm_title__fXezC{position:relative;z-index:1;font-weight:600;font-size:var(--fs-20-32);color:var(--white);margin:0}.ProsthesesForm_fields__ExMeu{position:relative;margin-top:1.875rem;gap:1.25rem;z-index:1}.ProsthesesForm_field__IhGXg,.ProsthesesForm_fields__ExMeu{display:flex;flex-direction:column}.ProsthesesForm_input__tEvRy{border:1px solid var(--blue-59);border-radius:4rem;padding:1rem 1.875rem;background:var(--gray-t15);font-weight:400;font-size:var(--fs-14-20);color:var(--blue-b1);transition:background-color .3s ease,background-color .3s ease}.ProsthesesForm_input__tEvRy.ProsthesesForm_error__L78yN{border-color:red;background-color:rgba(255,0,0,.1)}.ProsthesesForm_input__tEvRy::placeholder{font-weight:400;font-size:var(--fs-14-20);color:var(--blue-b1)}.ProsthesesForm_errorText___w4B7{color:red;font-size:12px;margin-top:6px;line-height:1.2}.ProsthesesForm_button__tHq3u{overflow:hidden;cursor:pointer;position:relative;border:none;border-radius:4rem;background:var(--orange-ff);color:var(--white);padding:1rem;width:100%;text-align:center;font-size:var(--fs-14-20);font-weight:600;margin-top:1.25rem;z-index:1}.ProsthesesForm_policy__FAgqj{position:relative;margin-top:1rem;font-size:var(--fs-12-16);font-weight:400;color:#efefef;z-index:1}.ProsthesesForm_policy__FAgqj .ProsthesesForm_HardReloadLink__WBsZC{text-decoration:underline!important;text-underline-offset:5px}.ProsthesesForm_checkboxLabel__l_9t3{display:flex;align-items:center;gap:10px;cursor:pointer;-webkit-user-select:none;-moz-user-select:none;user-select:none}.ProsthesesForm_checkbox___80MV{display:none}.ProsthesesForm_checkbox___80MV.ProsthesesForm_error__L78yN+.ProsthesesForm_customCheckbox__cNri2{border-color:red;box-shadow:inset 0 0 0 2px rgba(255,0,0,.2)}.ProsthesesForm_customCheckbox__cNri2{width:18px;height:18px;border:1px solid var(--white);border-radius:4px;position:relative;flex-shrink:0;transition:background-color .2s ease,border-color .2s ease}.ProsthesesForm_checkbox___80MV:checked+.ProsthesesForm_customCheckbox__cNri2{background-color:var(--orange-ff);border-color:var(--orange-ff)}.ProsthesesForm_checkbox___80MV:checked+.ProsthesesForm_customCheckbox__cNri2:after{content:"";position:absolute;left:4px;top:1px;width:6px;height:10px;border:solid var(--white);border-width:0 2px 2px 0;transform:rotate(45deg)}.ProsthesesForm_description__Wxi1Q{position:relative;margin-top:1.5rem;font-size:var(--fs-14-20);font-weight:400;color:var(--blue-b1);z-index:1}@media(max-width:1900px){.ProsthesesForm_form__5GwUc{padding:24px 12px 12px}.ProsthesesForm_title__fXezC{text-align:center;width:100%}}@media(max-width:1280px)and (min-width:650px){.ProsthesesForm_form__5GwUc{height:100%;padding:60px 24px 24px}.ProsthesesForm_fields__ExMeu{margin-top:60px;gap:2rem}.ProsthesesForm_button__tHq3u{margin-top:60px}}@media(max-width:860px)and (min-width:650px){.ProsthesesForm_form__5GwUc{padding:30px 12px 12px}.ProsthesesForm_fields__ExMeu{margin-top:30px;gap:1.25rem}.ProsthesesForm_button__tHq3u{margin-top:20px}}@media(max-width:768px)and (min-width:650px){.ProsthesesForm_form__5GwUc{padding:12px 8px 8px}.ProsthesesForm_fields__ExMeu{margin-top:20px;gap:1rem}.ProsthesesForm_input__tEvRy{padding:8px 30px}.ProsthesesForm_button__tHq3u{margin-top:16px;padding:8px}}@media(max-width:620px){.ProsthesesForm_form__5GwUc{padding:1.75rem 1rem}}@media(max-width:566px){.ProsthesesForm_fields__ExMeu{margin-top:1rem}}.ProsthesesForm_error__L78yN{border-color:red!important;background-color:rgba(255,0,0,.1)!important}