.etruenorth-page.svelte-at7mn3{background-color:#13152c;color:#fff;min-height:100vh;display:flex;flex-direction:column;align-items:center;padding:2rem;margin:0;width:100%;box-sizing:border-box}.etruenorth-logo.svelte-at7mn3{max-width:250px;margin-bottom:2rem}.etruenorth-content.svelte-at7mn3{font-size:1.125rem;margin-bottom:2rem;max-width:800px;text-align:center}.success-message.svelte-at7mn3{background-color:#4caf5033;border:1px solid #4caf50;border-radius:8px;padding:2rem;max-width:800px;margin-bottom:2rem;text-align:center}.success-message.svelte-at7mn3 h2:where(.svelte-at7mn3){margin-bottom:1rem;color:#4caf50}.success-message.svelte-at7mn3 p:where(.svelte-at7mn3){margin-bottom:.5rem}.phi-request-form.svelte-at7mn3{width:100%;max-width:800px;background-color:#ffffff0d;border-radius:8px;padding:2rem;margin-bottom:2rem}fieldset.svelte-at7mn3{border:1px solid rgba(255,255,255,.2);border-radius:4px;padding:1.5rem;margin-bottom:1.5rem}legend.svelte-at7mn3{font-size:1.25rem;font-weight:700;padding:0 .5rem}.form-row.svelte-at7mn3{display:grid;grid-template-columns:repeat(auto-fit,minmax(200px,1fr));gap:1rem;margin-bottom:1rem}.form-group.svelte-at7mn3{margin-bottom:1.5rem}.form-group-small.svelte-at7mn3{max-width:120px}.form-group-medium.svelte-at7mn3{max-width:150px}.form-group.svelte-at7mn3 label:where(.svelte-at7mn3){display:block;margin-bottom:.5rem;font-weight:500}.required.svelte-at7mn3{color:#ff6b6b}input[type=text].svelte-at7mn3,input[type=email].svelte-at7mn3,input[type=date].svelte-at7mn3,textarea.svelte-at7mn3{width:100%;padding:.75rem;border:1px solid rgba(255,255,255,.3);border-radius:4px;background-color:#ffffff1a;color:#fff;font-size:1rem;font-family:inherit}input[type=text].svelte-at7mn3:focus,input[type=email].svelte-at7mn3:focus,input[type=date].svelte-at7mn3:focus,textarea.svelte-at7mn3:focus{outline:none;border-color:#4caf50;background-color:#ffffff26}input[type=file].svelte-at7mn3{width:100%;padding:.5rem;border:1px solid rgba(255,255,255,.3);border-radius:4px;background-color:#ffffff1a;color:#fff}textarea.svelte-at7mn3{resize:vertical;min-height:100px}.char-count.svelte-at7mn3{text-align:right;font-size:.875rem;color:#ffffffb3;margin-top:.25rem}.radio-fieldset.svelte-at7mn3{border:none;padding:0;margin:0}.radio-fieldset.svelte-at7mn3 legend:where(.svelte-at7mn3){font-size:inherit;font-weight:500;padding:0;margin-bottom:.5rem}.radio-group.svelte-at7mn3{display:flex;flex-direction:column;gap:.5rem}.radio-group-inline.svelte-at7mn3{flex-direction:row;gap:1.5rem}.radio-group.svelte-at7mn3 label:where(.svelte-at7mn3){display:flex;align-items:center;gap:.5rem;font-weight:400;cursor:pointer}.radio-group.svelte-at7mn3 input[type=radio]:where(.svelte-at7mn3){width:20px;height:20px;margin:0;cursor:pointer;appearance:none;-webkit-appearance:none;-moz-appearance:none;border:2px solid rgba(255,255,255,.5);border-radius:50%;background-color:#ffffff1a;position:relative;flex-shrink:0;transition:all .2s ease}.radio-group.svelte-at7mn3 input[type=radio]:where(.svelte-at7mn3):hover{border-color:#ffffffb3;background-color:#ffffff26}.radio-group.svelte-at7mn3 input[type=radio]:where(.svelte-at7mn3):checked{border-color:#4caf50;background-color:#4caf5033}.radio-group.svelte-at7mn3 input[type=radio]:where(.svelte-at7mn3):checked:after{content:"";position:absolute;top:50%;left:50%;transform:translate(-50%,-50%);width:10px;height:10px;border-radius:50%;background-color:#4caf50}.radio-group.svelte-at7mn3 input[type=radio]:where(.svelte-at7mn3):focus{outline:2px solid rgba(76,175,80,.5);outline-offset:2px}@media (min-width: 768px){.radio-group.svelte-at7mn3:not(.radio-group-inline){display:grid;grid-template-columns:repeat(2,1fr);gap:.5rem}}small.svelte-at7mn3{display:block;margin-top:.25rem;font-size:.875rem;color:#ffffffb3}.field-error.svelte-at7mn3{display:block;color:#ff6b6b;font-size:.875rem;margin-top:.25rem}.error-message.svelte-at7mn3{background-color:#f4433633;border:1px solid #f44336;border-radius:4px;padding:1rem;margin-bottom:1.5rem;color:#ff6b6b}.hipaa-notice.svelte-at7mn3{background-color:#ffffff0d;border-left:4px solid #4caf50;padding:1rem;margin-bottom:1.5rem;border-radius:4px}.hipaa-notice.svelte-at7mn3 p:where(.svelte-at7mn3){margin:0;line-height:1.6;font-size:.95rem}.signature-label.svelte-at7mn3{display:block;margin-bottom:.5rem;font-weight:500}.signature-container.svelte-at7mn3{position:relative;border:2px solid rgba(255,255,255,.3);border-radius:4px;background-color:#fff;padding:.5rem}.signature-canvas.svelte-at7mn3{width:100%;height:200px;display:block;cursor:crosshair}.clear-signature-btn.svelte-at7mn3{margin-top:.5rem;padding:.5rem 1rem;background-color:#f44336cc;color:#fff;border:none;border-radius:4px;cursor:pointer;font-size:.875rem}.clear-signature-btn.svelte-at7mn3:hover{background-color:#f44336}.form-actions.svelte-at7mn3{text-align:center;margin-top:2rem}.submit-btn.svelte-at7mn3{padding:1rem 2rem;background-color:#4caf50;color:#fff;border:none;border-radius:4px;font-size:1.125rem;font-weight:700;cursor:pointer;transition:background-color .2s;display:inline-flex;align-items:center;gap:.5rem}.submit-btn.svelte-at7mn3:hover:not(:disabled){background-color:#45a049}.submit-btn.svelte-at7mn3:active:not(:disabled){background-color:#3d8b40}.submit-btn.svelte-at7mn3:disabled{background-color:#4caf5099;cursor:not-allowed;opacity:.8}.spinner.svelte-at7mn3{width:16px;height:16px;border:2px solid rgba(255,255,255,.3);border-top-color:#fff;border-radius:50%;animation:svelte-at7mn3-spin .6s linear infinite}@keyframes svelte-at7mn3-spin{to{transform:rotate(360deg)}}.etruenorth-footer.svelte-at7mn3{margin-top:auto;margin-bottom:1rem;font-size:.9rem}.etruenorth-footer.svelte-at7mn3 a:where(.svelte-at7mn3){color:#fff;text-decoration:none}.etruenorth-footer.svelte-at7mn3 a:where(.svelte-at7mn3):hover,.etruenorth-footer.svelte-at7mn3 a:where(.svelte-at7mn3):focus{color:#ccc}@media (max-width: 768px){.phi-request-form.svelte-at7mn3{padding:1rem}.form-row.svelte-at7mn3{grid-template-columns:1fr}}