@import"https://fonts.googleapis.com/css2?family=Space+Grotesk:wght@400;500;600;700&family=Sora:wght@400;500;600&display=swap";:root{font-family:system-ui,Avenir,Helvetica,Arial,sans-serif;line-height:1.5;font-weight:400;color-scheme:light dark;color:#ffffffde;background-color:#242424;font-synthesis:none;text-rendering:optimizeLegibility;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale}a{font-weight:500;color:#646cff;text-decoration:inherit}a:hover{color:#535bf2}body{margin:0;display:flex;place-items:center;min-width:320px;min-height:100vh}h1{font-size:3.2em;line-height:1.1}button{border-radius:8px;border:1px solid transparent;padding:.6em 1.2em;font-size:1em;font-weight:500;font-family:inherit;background-color:#1a1a1a;cursor:pointer;transition:border-color .25s}button:hover{border-color:#646cff}button:focus,button:focus-visible{outline:4px auto 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50%);z-index:0}.masthead{position:relative;z-index:1;display:flex;flex-direction:column;gap:.75rem;text-align:left}.logo-chip{display:inline-flex;align-items:center;gap:.65rem;align-self:center;padding:.5rem .8rem;border-radius:999px;border:1px solid rgba(255,255,255,.12);background:#04070fd9;box-shadow:0 14px 28px #03050ca6}.logo-chip img{width:96px;height:auto;border-radius:16px;padding:.35rem .6rem;background:#fff;box-shadow:0 4px 18px #0000004d}.logo-chip span{font-size:.85rem;color:var(--muted);letter-spacing:.08em;text-transform:uppercase}.layout{position:relative;z-index:1;width:100%;max-width:1100px;margin:0 auto;display:flex;flex-direction:column;gap:clamp(1.25rem,3vw,2rem);align-items:center;padding:0 clamp(.5rem,2vw,3rem)}.panel{border-radius:26px;border:1px solid var(--border);padding:clamp(1.25rem,4vw,2rem);background:var(--panel);box-shadow:0 25px 50px 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clamp(1.25rem,4vw,3rem)}.layout>*{width:100%}}.provider-form{width:100%;display:flex;flex-direction:column;gap:1.5rem;padding:0}.provider-form--loading{min-height:400px;display:flex;align-items:center;justify-content:center}.provider-form--error{min-height:500px;display:flex;align-items:center;justify-content:center;padding:2rem 1rem}.provider-form--error .form-alert{padding:3rem 2.5rem;align-items:center;flex-direction:column;text-align:center;max-width:600px;margin:0 auto;gap:1.5rem;border-color:#ff8fb080;background-color:#ff8fb01f}.provider-form--error .form-alert--error svg{width:64px;height:64px;margin-bottom:1rem}.provider-form--error .form-alert__message{font-size:1.3rem;color:var(--text);font-weight:500;line-height:1.6}.form-loader{display:flex;flex-direction:column;align-items:center;gap:1rem}.form-loader__icon{width:40px;height:40px;color:var(--accent)}.form-loader__text{color:var(--muted);font-size:.95rem}.form-alert{display:flex;gap:1rem;align-items:flex-start;padding:1rem;border-radius:12px;border:1px solid;background-color:#ffffff0a}.form-alert--success{border-color:#6df1b64d;background-color:#6df1b614}.form-alert--success svg{color:var(--success)}.form-alert--error{border-color:#ff8fb04d;background-color:#ff8fb014}.form-alert--error svg{color:var(--danger)}.form-alert__content{flex:1}.form-alert__title{margin:0 0 .25rem;font-size:.9rem;font-weight:600;color:var(--text)}.form-alert__message{margin:0;font-size:.85rem;color:var(--muted)}.provider-form__form{display:flex;flex-direction:column;gap:1.5rem}.provider-form__sections{display:flex;flex-direction:column;gap:2rem}.form-section{display:flex;flex-direction:column;gap:1rem}.form-section__heading{border-bottom:2px solid var(--border);padding-bottom:.75rem}.form-section__title{margin:0;font-size:.95rem;font-weight:600;color:var(--text);text-transform:uppercase;letter-spacing:.05em}.form-section__grid{display:grid;grid-template-columns:1fr;gap:1rem;width:100%}@media(min-width:480px){.form-section__grid{grid-template-columns:repeat(2,1fr)}}@media(min-width:768px){.form-section__grid{grid-template-columns:repeat(3,1fr)}}@media(min-width:1024px){.form-section__grid{grid-template-columns:repeat(4,1fr)}}.form-section__subsections{display:flex;flex-direction:column;gap:2rem}.form-subsection{display:flex;flex-direction:column;gap:1rem;padding-bottom:1.5rem;border-bottom:1px solid var(--border)}.form-subsection:last-child{border-bottom:none;padding-bottom:0}.form-subsection__title{margin:0;font-size:.9rem;font-weight:600;color:var(--muted);text-transform:uppercase;letter-spacing:.05em;padding-bottom:.75rem;border-bottom:1px solid 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ease}.custom-select__button--open .custom-select__icon{transform:rotate(180deg)}.custom-select__dropdown{position:absolute;top:calc(100% + .5rem);left:0;right:0;background-color:#140105f2;border:1px solid var(--border);border-radius:10px;box-shadow:0 10px 25px #00000080;z-index:1000;max-height:300px;overflow-y:auto;animation:slideDown .2s ease}@keyframes slideDown{0%{opacity:0;transform:translateY(-10px)}to{opacity:1;transform:translateY(0)}}.custom-select__list{list-style:none;margin:0;padding:.5rem 0}.custom-select__option{display:block;width:100%;padding:.75rem 1rem;background:none;border:none;color:var(--text);font-family:inherit;font-size:.95rem;text-align:left;cursor:pointer;transition:all .15s ease}.custom-select__option:hover{background-color:#ff2f4d33}.custom-select__option--selected{background-color:#ff2f4d4d;color:var(--accent);font-weight:600}.custom-select__option:focus{outline:none;background-color:#ff2f4d40}.form-field select{color-scheme:dark;appearance:none!important;-webkit-appearance:none!important;-moz-appearance:none!important;background-image:url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' width='12' height='12' viewBox='0 0 12 12'%3E%3Cpath fill='%23ff2f4d' d='M6 9L1 4h10z'/%3E%3C/svg%3E");background-repeat:no-repeat;background-position:right .75rem center;padding-right:2.5rem;background-color:#140105cc;border-radius:10px;accent-color:var(--accent);transition:all .3s ease}.form-field select option{background-color:#20020af2;color:#fff6f7;padding:.5rem .75rem;border:none;border-radius:6px;margin:.25rem 0;accent-color:var(--accent)}.form-field select option:hover{background-color:#ff2f4d4d!important;color:#fff6f7!important}.form-field select option:focus{background-color:#ff2f4d4d!important;color:#fff6f7!important;outline:none!important;box-shadow:none!important}.form-field select 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select:disabled,.form-field textarea:disabled{opacity:.6;cursor:not-allowed}.form-field__input--error{border-color:var(--danger);background-color:#ff8fb014}.form-field__input--error:focus{box-shadow:0 0 0 2px #ff8fb026}.form-field__error{display:block;font-size:.75rem;color:var(--danger);margin-top:.25rem;transition:color .2s ease;animation:slideIn .2s ease}@keyframes slideIn{0%{opacity:0;transform:translateY(-5px)}to{opacity:1;transform:translateY(0)}}.form-field--checkbox{flex-direction:row;align-items:center;gap:.5rem}.form-field__label--checkbox{display:flex;align-items:center;gap:.5rem;text-transform:none;letter-spacing:normal;font-weight:500;font-size:.9rem;cursor:pointer}.form-field--checkbox input[type=checkbox]{width:18px;height:18px;cursor:pointer;accent-color:var(--accent);transition:all .2s ease}.form-field--file{width:100%;min-width:0}.form-field__file-wrapper{display:flex;flex-direction:column;gap:.5rem;position:relative;align-items:center}.form-field__file-btn{display:flex;align-items:center;gap:.75rem;padding:.75rem;cursor:pointer;background-color:#ffffff0d;border:1px solid var(--border);border-radius:10px;color:var(--text);font-family:inherit;font-size:.95rem;font-weight:500;transition:all .2s ease;text-align:left;width:100%;min-width:0}.form-field__file-btn-icon{display:flex;align-items:center;justify-content:center;color:var(--accent);flex-shrink:0}.form-field__file-btn-text{overflow:hidden;text-overflow:ellipsis;white-space:nowrap;flex:1;min-width:0}.form-field__file-btn:hover:not(:disabled){background-color:#ffffff14;border-color:var(--accent)}.form-field__file-btn:hover:not(:disabled) .form-field__file-btn-icon{color:var(--muted)}.form-field__file-btn:focus{outline:none;border-color:var(--accent);background-color:#ffffff14;box-shadow:0 0 0 2px #ff2f4d26}.form-field__file-btn:disabled{opacity:.6;cursor:not-allowed}.form-field__file-name{font-size:.85rem;color:var(--accent);word-break:break-all;padding:.5rem .75rem;background-color:#ff2f4d14;border-radius:6px;transition:all .2s ease;animation:slideIn .2s ease}.provider-form__actions{display:flex;flex-direction:column;gap:1rem;margin-top:2rem;padding-top:1.5rem;border-top:1px solid var(--border);align-items:stretch}@media(min-width:480px){.provider-form__actions{flex-direction:row;justify-content:space-between;align-items:center;flex-wrap:wrap;gap:1rem}}.provider-form__buttons{display:flex;flex-direction:column;gap:.75rem;width:100%}@media(min-width:480px){.provider-form__buttons{flex-direction:row;gap:1rem;width:auto}}.provider-form__btn{display:flex;align-items:center;justify-content:center;gap:.5rem;padding:.85rem 1.5rem;border-radius:12px;border:1px solid var(--border);font-size:.9rem;font-weight:600;cursor:pointer;transition:all .2s ease;font-family:inherit}@media(min-width:480px){.provider-form__btn{width:auto;font-size:.95rem}}.provider-form__btn:disabled{opacity:.6;cursor:not-allowed}.provider-form__btn--reset{background-color:#ffffff0f;color:var(--text);transition:all .3s ease}.provider-form__btn--reset:not(:disabled):hover{background-color:#ffffff1f;border-color:var(--muted);transition:all .3s ease}.provider-form__btn--submit{background-image:linear-gradient(135deg,#5a020f,#a3081f 55%,#f01630);border:1px solid rgba(255,92,122,.35);color:var(--text);box-shadow:0 10px 25px #8a081f66;transition:all .3s ease}.provider-form__btn--submit:not(:disabled):hover{box-shadow:0 15px 35px #8a081f99;transform:translateY(-2px);transition:all .3s ease}.provider-form__btn--submit:not(:disabled):active{transform:translateY(0)}.provider-form__btn--success{background-image:linear-gradient(135deg,#0a5a2f,#1a8f4f 55%,#6df1b6);border:1px solid rgba(109,241,182,.35);box-shadow:0 10px 25px #1a8f4f66;animation:successPulse .5s ease}@keyframes successPulse{0%{transform:scale(1)}50%{transform:scale(1.05)}to{transform:scale(1)}}.provider-form__error-badge{display:flex;align-items:center;gap:.75rem;padding:.85rem 1.25rem;border-radius:12px;border:1px solid rgba(255,143,176,.4);background-color:#ff8fb01f;-webkit-backdrop-filter:blur(8px);backdrop-filter:blur(8px);animation:slideInFromBottom .3s ease-out;width:100%;min-height:48px}@media(min-width:480px){.provider-form__error-badge{width:auto;max-width:400px;animation:slideInFromRight .3s ease-out}}.provider-form__error-badge-icon{flex-shrink:0;color:var(--danger);animation:shake .5s ease}.provider-form__error-badge-text{flex:1;font-size:.9rem;font-weight:500;color:var(--text);line-height:1.4;word-break:break-word}@keyframes slideInFromRight{0%{opacity:0;transform:translate(20px)}to{opacity:1;transform:translate(0)}}@keyframes slideInFromBottom{0%{opacity:0;transform:translateY(20px)}to{opacity:1;transform:translateY(0)}}@keyframes shake{0%,to{transform:rotate(0)}25%{transform:rotate(-5deg)}75%{transform:rotate(5deg)}}
