.page-module__jEtkuW__page{background-color:var(--color-white);min-height:100vh;position:relative}.page-module__jEtkuW__returnBtn{z-index:10;color:var(--color-white);-webkit-backdrop-filter:blur(10px);backdrop-filter:blur(10px);background:#ffffff1a;border-radius:2rem;align-items:center;gap:.5rem;padding:.5rem 1rem;font-weight:500;text-decoration:none;transition:all .3s;display:flex;position:absolute;top:2rem;left:2rem}.page-module__jEtkuW__returnBtn:hover{color:var(--color-orange);background:#fff3;transform:translate(-5px)}.page-module__jEtkuW__container{flex-direction:column;width:100%;min-height:100vh;display:flex}@media (min-width:900px){.page-module__jEtkuW__container{flex-direction:row}}.page-module__jEtkuW__left{background-blend-mode:soft-light;background-color:#0a0a0a;background-image:url(/background.svg);background-repeat:repeat;background-size:300px;background-attachment:scroll;flex:1;justify-content:center;align-items:center;padding:4rem;display:flex;position:relative;overflow:hidden}.page-module__jEtkuW__left:before{content:"";pointer-events:none;background-color:#0a0a0aeb;position:absolute;inset:0}.page-module__jEtkuW__brandContent{z-index:1;max-width:400px;position:relative}.page-module__jEtkuW__brandTitle{color:var(--color-white);margin-bottom:.5rem;font-size:3rem;font-weight:300}.page-module__jEtkuW__brandTagline{color:var(--color-teal);margin-bottom:2rem;font-size:1.5rem;font-style:italic}.page-module__jEtkuW__brandDivider{background-color:var(--color-orange);width:50px;height:3px;margin-bottom:2rem}.page-module__jEtkuW__brandDesc{color:#fffc;font-size:1.1rem;line-height:1.6}.page-module__jEtkuW__right{background-color:#fff;flex:1;justify-content:center;align-items:center;padding:4rem 2rem;display:flex}.page-module__jEtkuW__formWrapper{width:100%;max-width:600px}.page-module__jEtkuW__title{color:var(--color-dark);margin-bottom:.5rem;font-size:2.5rem;font-weight:700}.page-module__jEtkuW__subtitle{color:#64748b;margin-bottom:2rem;font-size:1.1rem}.page-module__jEtkuW__formGrid{grid-template-columns:1fr 1fr;gap:1.2rem;display:grid}.page-module__jEtkuW__fullWidth{grid-column:1/-1}.page-module__jEtkuW__formGroup{flex-direction:column;gap:.5rem;display:flex}.page-module__jEtkuW__label{color:#1a202c;font-size:.85rem;font-weight:700}.page-module__jEtkuW__input,.page-module__jEtkuW__textarea{border:1px solid var(--border-warm);color:#1a202c;background-color:#f7fafc;border-radius:12px;width:100%;padding:.8rem 1rem;font-family:inherit;font-size:.95rem;transition:all .2s}.page-module__jEtkuW__textarea{resize:vertical;min-height:120px}.page-module__jEtkuW__input:focus,.page-module__jEtkuW__textarea:focus{border-color:var(--color-teal);background-color:#fff;outline:none;box-shadow:0 0 0 4px #4cb5c926}.page-module__jEtkuW__uploadZone{text-align:center;cursor:pointer;background-color:#f7fafc;border:2px dashed #cbd5e0;border-radius:12px;padding:1.5rem;transition:all .2s;position:relative}.page-module__jEtkuW__uploadZone:hover{border-color:var(--color-teal);background-color:#ebf8fa}.page-module__jEtkuW__uploadIcon{color:#718096;margin-bottom:.5rem;font-size:1.5rem}.page-module__jEtkuW__uploadText{color:#1a202c;margin-bottom:.3rem;font-size:.95rem;font-weight:700}.page-module__jEtkuW__uploadSubtext{color:#718096;font-size:.85rem}.page-module__jEtkuW__fileInput{opacity:0;cursor:pointer;width:100%;height:100%;position:absolute;top:0;left:0}.page-module__jEtkuW__fileName{color:var(--color-teal);background:#4cb5c91a;border-radius:8px;margin-top:1rem;padding:.5rem;font-size:1rem;font-weight:700;display:inline-block}.page-module__jEtkuW__formActions{border-top:1px solid #edf2f7;justify-content:flex-end;gap:1.5rem;margin-top:2rem;padding-top:2rem;display:flex}.page-module__jEtkuW__btnPrimary{background-color:var(--color-orange);color:#fff;cursor:pointer;border:none;border-radius:12px;padding:1rem 2rem;font-family:inherit;font-size:1.05rem;font-weight:700;transition:all .3s}.page-module__jEtkuW__btnPrimary:hover{background-color:#d14f3b}.page-module__jEtkuW__btnPrimary:disabled{cursor:not-allowed;background-color:#cbd5e0}.page-module__jEtkuW__btnSecondary{color:#4a5568;cursor:pointer;background-color:#0000;border:1px solid #cbd5e0;border-radius:12px;padding:1rem 2rem;font-family:inherit;font-size:1.05rem;font-weight:600;transition:all .2s}.page-module__jEtkuW__btnSecondary:hover{color:var(--color-dark);background-color:#f7fafc;border-color:#a0aec0}.page-module__jEtkuW__successState{text-align:center;padding:4rem 2rem}.page-module__jEtkuW__successIcon{color:#059669;background-color:#d1fae5;border-radius:50%;justify-content:center;align-items:center;width:100px;height:100px;margin:0 auto 2rem;font-size:3.5rem;display:flex}.page-module__jEtkuW__compactForm{width:100%}.page-module__jEtkuW__clinicStepContainer{border:1px solid var(--border-warm);background:#fff;border-radius:12px;margin-top:1rem;overflow:hidden}.page-module__jEtkuW__clinicStepHeader{display:none}.page-module__jEtkuW__clinicStepBody{max-height:65vh;padding:2rem;overflow-y:auto}.page-module__jEtkuW__clinicStepBody::-webkit-scrollbar{width:8px}.page-module__jEtkuW__clinicStepBody::-webkit-scrollbar-track{background:#f1f1f1;border-radius:4px}.page-module__jEtkuW__clinicStepBody::-webkit-scrollbar-thumb{background:#cbd5e0;border-radius:4px}.page-module__jEtkuW__clinicStepBody::-webkit-scrollbar-thumb:hover{background:#a0aec0}.page-module__jEtkuW__clinicGrid5{grid-template-columns:1fr;gap:1.2rem;margin-bottom:1.2rem;display:grid}@media (min-width:768px){.page-module__jEtkuW__clinicGrid5{grid-template-columns:1fr 1fr}}.page-module__jEtkuW__clinicLabel{color:#4a5568;text-transform:uppercase;margin-bottom:.5rem;font-size:.8rem;font-weight:700;display:block}.page-module__jEtkuW__clinicInput{border:1px solid var(--border-warm);background-color:var(--surface-warm);color:#1a202c;border-radius:8px;width:100%;padding:.8rem;font-family:inherit;font-size:.95rem;transition:all .2s}.page-module__jEtkuW__clinicInput:focus{border-color:var(--color-teal);background-color:#fff;outline:none;box-shadow:0 0 0 3px #4cb5c91a}.page-module__jEtkuW__btnAddClinic{background-color:var(--color-teal);color:#fff;cursor:pointer;border:none;border-radius:8px;width:100%;padding:1rem 1.5rem;font-size:1rem;font-weight:700;transition:background-color .2s}.page-module__jEtkuW__btnAddClinic:hover{background-color:var(--color-orange)}.page-module__jEtkuW__successTitle{color:#1a202c;margin-bottom:1.5rem;font-size:2.5rem;font-weight:800}.page-module__jEtkuW__successText{color:#4a5568;max-width:600px;margin-bottom:3rem;margin-left:auto;margin-right:auto;font-size:1.1rem;line-height:1.8}.page-module__jEtkuW__errorAlert{color:#991b1b;text-align:center;background-color:#fee2e2;border:1px solid #fecaca;border-radius:12px;margin-bottom:2rem;padding:1.5rem;font-weight:600}@media (max-width:900px){.page-module__jEtkuW__left{min-height:30vh;padding:3rem 1.5rem}.page-module__jEtkuW__brandTitle{font-size:2rem}.page-module__jEtkuW__brandTagline{font-size:1.2rem}.page-module__jEtkuW__right{padding:2rem 1.5rem}.page-module__jEtkuW__title{font-size:1.8rem}}