.centered-form-head-wrap{font-size:1rem;line-height:1.5rem}.centered-form-wrap form{background:#fff!important;border:1px solid #e1e4ed!important;border-radius:8px!important;margin:0 auto!important;max-width:700px!important}.centered-form-wrap form .hsfc-TextareaInput,.centered-form-wrap form input[type=email],.centered-form-wrap form input[type=file],.centered-form-wrap form input[type=number],.centered-form-wrap form input[type=password],.centered-form-wrap form input[type=tel],.centered-form-wrap form input[type=text],.centered-form-wrap form select,.centered-form-wrap form textarea{background:#fff;border:1px solid #f1f3f7;border-radius:6px;-webkit-box-shadow:0 1px 4px 0 #19213d14;box-shadow:0 1px 4px 0 #19213d14;color:#6d758f;padding:1rem}.centered-form-wrap form input[type=email]:active,.centered-form-wrap form input[type=email]:focus,.centered-form-wrap form input[type=file]:active,.centered-form-wrap form input[type=file]:focus,.centered-form-wrap form input[type=number]:active,.centered-form-wrap form input[type=number]:focus,.centered-form-wrap form input[type=password]:active,.centered-form-wrap form input[type=password]:focus,.centered-form-wrap form input[type=tel]:active,.centered-form-wrap form input[type=tel]:focus,.centered-form-wrap form input[type=text]:active,.centered-form-wrap form input[type=text]:focus,.centered-form-wrap form select:active,.centered-form-wrap form select:focus,.centered-form-wrap form textarea:active,.centered-form-wrap form textarea:focus{border:1px solid #f1f3f7;-webkit-box-shadow:0 1px 4px 0 #19213d14;box-shadow:0 1px 4px 0 #19213d14}.centered-form-wrap form label span{color:#6d758f!important;display:inline-block!important;font-size:.9rem!important;font-weight:600!important;line-height:1.2!important}.centered-form-wrap form .hsfc-ErrorAlert{color:#e94f37!important;font-size:12px!important;line-height:16px!important}[data-hsfc-id=Renderer] .hsfc-PhoneInput:not(.hsfc-PhoneInput--rtl) .hsfc-PhoneInput__FlagAndCaret{border:0!important}.centered-form-wrap form .hsfc-Button{background:#005ea3!important;border-radius:6px;color:#fff;font-size:14px;line-height:20px;padding:15px 35px 15px 15px}.centered-form-wrap form .hsfc-Button:before{background:url(https://info.modisdental.com/hubfs/Icons/Arrow%20rigth.svg)50%/cover no-repeat;content:"";height:12px;position:absolute;right:15px;top:50%;-webkit-transform:translateY(-50%);-ms-transform:translateY(-50%);transform:translateY(-50%);width:12px}@media(max-width:767px){.centered-form-wrap form .hsfc-Row{-ms-grid-columns:1fr;gap:20px;grid-template-columns:1fr}.centered-form-head-wrap p{font-size:1rem}.centered-form-wrap form .hsfc-Step__Content{padding:1.85rem 1rem}.centered-form-wrap form .hsfc-Button{margin:0 auto;max-width:250px;width:100%}}