.contact-form-module__CIGq2G__shell{width:100%}.contact-form-module__CIGq2G__desktopLayout{display:block}.contact-form-module__CIGq2G__desktopStage{aspect-ratio:1448/1086;background-image:url(/background.png);background-position:50%;background-repeat:no-repeat;background-size:cover;border-radius:40px;width:min(100%,1448px);margin:0 auto;position:relative;overflow:hidden;box-shadow:0 36px 84px #0c2e6b29,0 10px 28px #159ebb1f}.contact-form-module__CIGq2G__desktopCanvas{width:100%;height:100%;position:relative}.contact-form-module__CIGq2G__desktopBrand{--brand-mark-width:clamp(108px, 9.7vw, 152px);--brand-primary-size:clamp(3.9rem, 5.5vw, 5.65rem);--brand-secondary-size:clamp(1.35rem, 2vw, 2.05rem);--brand-secondary-line-width:clamp(78px, 8vw, 138px);--brand-subtitle-offset:clamp(128px, 10vw, 164px);--brand-subtitle-size:clamp(1.12rem, 1.55vw, 1.46rem);width:max-content;position:absolute;top:4.35%;left:2.9%}.contact-form-module__CIGq2G__desktopBrandSubtitle{margin:8px 0 0 var(--brand-subtitle-offset);color:#113b7a;font-size:var(--brand-subtitle-size);letter-spacing:.01em;font-weight:500}.contact-form-module__CIGq2G__desktopBrandSubtitle span{color:#18afb7;font-weight:700}.contact-form-module__CIGq2G__brandRow{align-items:center;gap:clamp(12px,1.1vw,20px);display:flex}.contact-form-module__CIGq2G__brandMarkWrap{width:var(--brand-mark-width);aspect-ratio:235/255;filter:drop-shadow(0 12px 20px #123f7e0f);flex-shrink:0;position:relative}.contact-form-module__CIGq2G__brandMark{object-fit:contain}.contact-form-module__CIGq2G__brandWordmark{flex-direction:column;gap:clamp(3px,.4vw,8px);display:flex}.contact-form-module__CIGq2G__brandPrimary{align-items:flex-end;gap:.04em;line-height:.88;display:flex}.contact-form-module__CIGq2G__brandOne,.contact-form-module__CIGq2G__brandHudl{font-size:var(--brand-primary-size);letter-spacing:-.055em;text-transform:uppercase;font-weight:800}.contact-form-module__CIGq2G__brandOne{color:#0000;background:linear-gradient(#1dc6c9 0%,#16aebf 100%);-webkit-background-clip:text;background-clip:text}.contact-form-module__CIGq2G__brandHudl{color:#0f3d7e}.contact-form-module__CIGq2G__brandSecondary{align-items:center;gap:clamp(10px,.92vw,16px);padding-left:.18rem;display:flex}.contact-form-module__CIGq2G__brandSecondaryLine{width:var(--brand-secondary-line-width);background:linear-gradient(90deg,#17c1c8 0%,#17c1c8ad 100%);border-radius:999px;height:2px}.contact-form-module__CIGq2G__brandDental{color:#123f7e;font-size:var(--brand-secondary-size);letter-spacing:.46em;text-transform:uppercase;font-weight:600;line-height:1;transform:translate(.42em)}.contact-form-module__CIGq2G__desktopRequestBlock{align-items:center;gap:clamp(18px,1.8vw,26px);display:flex;position:absolute;top:31.2%;left:4.1%}.contact-form-module__CIGq2G__desktopRequestBadge{flex-shrink:0;width:clamp(64px,5.8vw,86px);height:auto}.contact-form-module__CIGq2G__desktopRequestCopy{flex-direction:column;gap:4px;display:flex}.contact-form-module__CIGq2G__desktopRequestTitle{color:#123f7e;letter-spacing:-.03em;text-transform:uppercase;margin:0;font-size:clamp(36px,3.28vw,52px);font-weight:800;line-height:.96}.contact-form-module__CIGq2G__desktopRequestSubtitle{color:#18afb7;letter-spacing:.02em;text-transform:uppercase;margin:0;font-size:clamp(16px,1.72vw,28px);font-weight:700;line-height:1}.contact-form-module__CIGq2G__desktopFields{flex-direction:column;gap:clamp(8px,.65vw,12px);width:57.8%;display:flex;position:absolute;top:42.2%;left:3.8%}.contact-form-module__CIGq2G__desktopFieldRow{grid-template-columns:238px minmax(0,1fr) 24px;align-items:center;gap:clamp(16px,1.2vw,22px);display:grid}.contact-form-module__CIGq2G__desktopFieldMeta{align-items:center;gap:14px;min-width:0;display:flex}.contact-form-module__CIGq2G__desktopFieldIcon{color:#14b3bd;flex-shrink:0;width:clamp(25px,2.1vw,34px);height:auto}.contact-form-module__CIGq2G__desktopFieldLabel{color:#123f7e;letter-spacing:.04em;text-transform:uppercase;white-space:nowrap;font-size:clamp(14px,1.08vw,18px);font-weight:800;line-height:1.05}.contact-form-module__CIGq2G__desktopFieldControl{grid-template-columns:minmax(0,1fr) 18px;align-items:center;gap:14px;display:grid}.contact-form-module__CIGq2G__desktopInputShell{background:#fffffff0;border-radius:12px;transition:box-shadow .16s,background-color .16s;box-shadow:inset 0 0 0 1.8px #87e0e2f2,0 6px 16px #0e3d6e06}.contact-form-module__CIGq2G__desktopInputShell:focus-within{background:#fffffffa;box-shadow:inset 0 0 0 2px #11bcc6fa,0 0 0 4px #11bcc61a}.contact-form-module__CIGq2G__desktopInputShellInvalid{box-shadow:inset 0 0 0 2px #ec5f5ff2,0 8px 18px #bf344a0a}.contact-form-module__CIGq2G__desktopInput{border-radius:inherit;color:#123f7e;background:0 0;border:none;outline:none;width:100%;height:clamp(44px,3.65vw,56px);padding:0 18px;font-size:clamp(16px,1.12vw,18px);font-weight:600}.contact-form-module__CIGq2G__desktopRequiredStar{color:#16b1ba;text-align:center;font-size:clamp(22px,1.8vw,28px);font-weight:800;line-height:1}.contact-form-module__CIGq2G__desktopSoftwareSection{border:none;width:56.5%;margin:0;padding:0;position:absolute;top:84.2%;left:4.05%}.contact-form-module__CIGq2G__desktopSoftwareLegend{color:#123f7e;letter-spacing:.04em;text-transform:uppercase;margin:0 0 14px;font-size:clamp(17px,1.28vw,20px);font-weight:800}.contact-form-module__CIGq2G__desktopSoftwareGrid{grid-template-columns:repeat(4,minmax(0,1fr));gap:12px 22px;display:grid}.contact-form-module__CIGq2G__desktopSoftwareOption{cursor:pointer;align-items:center;gap:12px;min-width:0;display:inline-flex}.contact-form-module__CIGq2G__desktopRadioCircle{background:#fffffff5;border:2px solid #16b1ba;border-radius:999px;flex-shrink:0;width:22px;height:22px;position:relative}.contact-form-module__CIGq2G__desktopRadioCircleChecked:after{content:"";background:linear-gradient(135deg,#18c1c7 0%,#104e99 100%);border-radius:999px;position:absolute;inset:4px}.contact-form-module__CIGq2G__desktopSoftwareText{color:#123f7e;letter-spacing:.02em;text-transform:uppercase;white-space:nowrap;font-size:clamp(13px,1vw,16px);font-weight:600;line-height:1.1}.contact-form-module__CIGq2G__desktopOtherOption{grid-column:4/span 1;align-items:center;gap:10px;min-width:0;display:flex}.contact-form-module__CIGq2G__desktopOtherLineWrap{border-bottom:2px solid #143f7eb8;flex:1;min-width:92px;transition:border-color .16s}.contact-form-module__CIGq2G__desktopOtherLineWrap:focus-within{border-bottom-color:#11bcc6f5}.contact-form-module__CIGq2G__desktopOtherLineInvalid{border-bottom-color:#ec5f5ffa}.contact-form-module__CIGq2G__desktopOtherLineInput{color:#123f7e;background:0 0;border:none;outline:none;width:100%;height:26px;padding:0 0 2px;font-size:clamp(13px,1vw,16px);font-weight:600}.contact-form-module__CIGq2G__desktopOtherLineInput:disabled{cursor:not-allowed}.contact-form-module__CIGq2G__desktopFootnote{color:#18afb7;letter-spacing:.04em;text-transform:uppercase;text-align:center;margin:0;font-size:clamp(15px,1.16vw,18px);font-weight:800;position:absolute;bottom:2.7%;left:0;right:0}.contact-form-module__CIGq2G__requestBadgeGraphic{aspect-ratio:1;background:radial-gradient(circle at 30% 28%,#ffffff3d 0,#0000 32%),linear-gradient(145deg,#22c9cb 0%,#16afc0 42%,#0f4c98 100%);border-radius:999px;place-items:center;display:inline-grid;position:relative;box-shadow:inset 0 1px #ffffff40,0 16px 30px #104f992e}.contact-form-module__CIGq2G__requestBadgeGraphic:after{content:"";border-radius:inherit;background:linear-gradient(#ffffff14 0%,#fff0 58%);position:absolute;inset:7%}.contact-form-module__CIGq2G__requestBadgeIcon{z-index:1;width:62%;height:auto;position:relative}.contact-form-module__CIGq2G__desktopToolbar,.contact-form-module__CIGq2G__mobileToolbar{align-items:center;gap:16px;width:min(100%,1448px);margin:22px auto 0;display:flex}.contact-form-module__CIGq2G__status{border:1px solid #0000;border-radius:999px;flex:1;align-items:center;min-height:58px;padding:0 20px;font-size:.96rem;font-weight:700;line-height:1.45;display:flex}.contact-form-module__CIGq2G__statusIdle{color:#123f7e;background:#ffffffd6;border-color:#77d2d93d}.contact-form-module__CIGq2G__statusSuccess{color:#0a705c;background:#e5f9f4f2;border-color:#18af8147}.contact-form-module__CIGq2G__statusError{color:#a3263e;background:#ffeff2f7;border-color:#d5496033}.contact-form-module__CIGq2G__submitButton{color:#fff;letter-spacing:.1em;text-transform:uppercase;background:linear-gradient(135deg,#16c1c8 0%,#114d9a 100%);border:none;border-radius:999px;min-width:220px;min-height:58px;padding:0 28px;font-size:.95rem;font-weight:800;transition:transform .16s,box-shadow .16s,opacity .16s;box-shadow:0 18px 32px #0c3f7c33}.contact-form-module__CIGq2G__submitButton:hover:not(:disabled){transform:translateY(-1px);box-shadow:0 22px 38px #0c3f7c3d}.contact-form-module__CIGq2G__submitButton:disabled{opacity:.72}.contact-form-module__CIGq2G__mobileLayout{display:none}.contact-form-module__CIGq2G__mobileStage{background-image:url(/background.png);background-position:76% 0;background-repeat:no-repeat;background-size:cover;border-radius:32px;position:relative;overflow:hidden;box-shadow:0 26px 60px #0c2e6b29,0 12px 24px #16a1b81a}.contact-form-module__CIGq2G__mobileStageOverlay{background:linear-gradient(#ffffffe0 0%,#fffffff5 34%,#fffffffa 100%);position:absolute;inset:0}.contact-form-module__CIGq2G__mobileHero,.contact-form-module__CIGq2G__mobileCard{z-index:1;position:relative}.contact-form-module__CIGq2G__mobileHero{padding:20px 18px 14px}.contact-form-module__CIGq2G__mobileBrand{--brand-mark-width:62px;--brand-primary-size:2.3rem;--brand-secondary-size:.95rem;--brand-secondary-line-width:44px}.contact-form-module__CIGq2G__mobileBrandSubtitle{color:#18417f;margin:10px 0 0 4px;font-size:.98rem;line-height:1.5}.contact-form-module__CIGq2G__mobileBrandSubtitle span{color:#18afb7;font-weight:700}.contact-form-module__CIGq2G__mobileRequestHeader{align-items:center;gap:14px;margin-top:16px;display:flex}.contact-form-module__CIGq2G__mobileRequestBadge{flex-shrink:0;width:58px;height:auto}.contact-form-module__CIGq2G__mobileRequestTitle{color:#123f7e;text-transform:uppercase;margin:0;font-size:2rem;font-weight:800;line-height:.95}.contact-form-module__CIGq2G__mobileRequestSubtitle{color:#18afb7;letter-spacing:.04em;text-transform:uppercase;margin:6px 0 0;font-size:.94rem;font-weight:700}.contact-form-module__CIGq2G__mobileCard{background:#ffffffeb;border-radius:28px;margin:0 14px 14px;padding:18px 16px 20px;box-shadow:0 20px 56px #0c2e6b1a}.contact-form-module__CIGq2G__mobileFieldGroup+.contact-form-module__CIGq2G__mobileFieldGroup{margin-top:16px}.contact-form-module__CIGq2G__mobileFieldHeader{justify-content:space-between;align-items:center;gap:10px;margin-bottom:8px;display:flex}.contact-form-module__CIGq2G__mobileFieldLabelWrap{align-items:center;gap:10px;min-width:0;display:flex}.contact-form-module__CIGq2G__mobileFieldIcon{color:#16b1ba;flex-shrink:0;width:22px;height:auto}.contact-form-module__CIGq2G__mobileFieldLabel{color:#123f7e;letter-spacing:.08em;text-transform:uppercase;font-size:.88rem;font-weight:800}.contact-form-module__CIGq2G__mobileFieldRequired{color:#18afb7;letter-spacing:.06em;text-transform:uppercase;font-size:.74rem;font-weight:800}.contact-form-module__CIGq2G__mobileInputShell{background:#fffffff5;border-radius:18px;transition:box-shadow .16s;box-shadow:inset 0 0 0 1.6px #87e0e2f2}.contact-form-module__CIGq2G__mobileInputShell:focus-within{box-shadow:inset 0 0 0 2px #11bcc6fa,0 0 0 4px #11bcc61a}.contact-form-module__CIGq2G__mobileInputShellInvalid{box-shadow:inset 0 0 0 2px #ec5f5ff2}.contact-form-module__CIGq2G__mobileInput{border-radius:inherit;color:#123f7e;background:0 0;border:none;outline:none;width:100%;height:54px;padding:0 16px;font-size:1rem;font-weight:600}.contact-form-module__CIGq2G__mobileInput::placeholder{color:#88a5c6}.contact-form-module__CIGq2G__mobileErrorText{color:#c73d54;margin:8px 2px 0;font-size:.82rem;font-weight:700}.contact-form-module__CIGq2G__mobileSoftwareSection{margin-top:20px}.contact-form-module__CIGq2G__mobileSoftwareLegend{color:#123f7e;letter-spacing:.06em;text-transform:uppercase;margin:0 0 14px;font-size:.9rem;font-weight:800}.contact-form-module__CIGq2G__mobileSoftwareGrid{grid-template-columns:1fr;gap:10px;display:grid}.contact-form-module__CIGq2G__mobileSoftwareOption{cursor:pointer;background:#fffffff5;border-radius:18px;align-items:center;gap:12px;min-height:52px;padding:0 14px;display:flex;box-shadow:inset 0 0 0 1.6px #87e0e2f2}.contact-form-module__CIGq2G__mobileSoftwareOptionActive{box-shadow:inset 0 0 0 2px #11bcc6fa}.contact-form-module__CIGq2G__mobileRadioCircle{background:#fffffff5;border:2px solid #16b1ba;border-radius:999px;flex-shrink:0;width:18px;height:18px;position:relative}.contact-form-module__CIGq2G__mobileRadioCircleChecked:after{content:"";background:linear-gradient(135deg,#18c1c7 0%,#104e99 100%);border-radius:999px;position:absolute;inset:3px}.contact-form-module__CIGq2G__mobileSoftwareText{color:#123f7e;font-size:.96rem;font-weight:700}.contact-form-module__CIGq2G__mobileOtherField{margin-top:14px}.contact-form-module__CIGq2G__mobileFootnote{color:#18afb7;letter-spacing:.08em;text-transform:uppercase;text-align:center;margin:18px 0 0;font-size:.8rem;font-weight:800}@media (max-width:1180px){.contact-form-module__CIGq2G__desktopFieldRow{grid-template-columns:224px minmax(0,1fr) 22px}.contact-form-module__CIGq2G__desktopSoftwareGrid{gap:16px 20px}.contact-form-module__CIGq2G__desktopLayout{display:none}.contact-form-module__CIGq2G__mobileLayout{display:block}.contact-form-module__CIGq2G__mobileToolbar{flex-direction:column;width:min(100%,760px)}.contact-form-module__CIGq2G__submitButton{width:100%}}