#status {
 text-align: center;
 padding-top: 10px;
 color: limegreen;
 display: none;
}

body, html {
    margin: 0;
    padding: 0;
    font-family: "proxima-nova",sans-serif
}

.container {
    width: 90%;
    max-width: 1264px;
    margin: 0 auto;
    position: relative;
}

a {
    text-decoration: none;
}

.header {
    padding-top: 25px;
    padding-bottom: 25px;
}

.section-1 {
    background: #f2f2f3;
    padding-top: 100px;
    padding-bottom: 130px;
}

.headline {
    font-size: 48px;
    line-height: 1.1em;
    color: #005677;
    font-weight: 100;
}

.section-2 {
    display: flex;
    justify-content: space-evenly;
    padding-top: 70px;
    padding-bottom: 70px;
    font-size: 18px;
    font-weight: 400;
    line-height: 1.2;
    color: #415363;
    direction: rtl;
}

.section-2 .left {
    width: 55%;
    padding-right: 96px;
    direction: ltr;
}

.section-2 .right {
    width: 45%;
    margin-top: -315px;
    display: none;
    direction: ltr;
}

.row {
    position: relative;
    width: 100%;
    display: -webkit-box;
    display: -ms-flexbox;
    display: flex;
    -ms-flex-wrap: wrap;
    flex-wrap: wrap;
    z-index: 2;
}

.section-2 ul {
    margin-bottom: 55px;
    padding-left: 20px;;
}

.section-2 li {
    margin-bottom: 17px;
    padding-left: 20px;
    font-weight: 400;
    line-height: 1.2;
    padding-left: 4px;
}


.error {
    font-size: 14px;
    color: #FF0000;
}
.form-outer {
    position: relative;
    width: 100%;
    border-radius: 8px;
    overflow: hidden;
    -webkit-box-shadow: 0 4px 8px 0 rgba(0, 42, 59, .08);
    box-shadow: 0 4px 8px 0 rgba(0, 42, 59, .08);
    background: #fff;
}

.form-headline {
    padding: 31px 0 33px;
    background: #7b4783;
    position: relative;
}

.form-headline-inner {
    color: #fff;
    font-weight: 600;
    padding: 0 48px;
    font-size: 24px;
    position: relative;
}

.form-headline-inner::after {
    content: "";
    position: absolute;
    width: 8px;
    height: 100%;
    left: 0;
    top: 0;
    background-color: #00a8e1;
}

.form {
    width: 90%;
    margin: 0 auto;
    padding-top: 25px;
    padding-bottom: 25px;
    background: #fff;
}

input[type="text"] {
    position: relative;
    outline: 0;
    width: 100%;
    border: 1px solid #415363;
    border-radius: 4px;
    padding: 8px 24px 8px 15px;
    overflow: hidden;
    color: #415363;
    font-size: 18px;
    line-height: 1.5;
    -webkit-transition: all .1s ease-in-out;
    transition: all .1s ease-in-out;
    box-sizing: border-box;
    
}

textarea {
    min-height: 140px;
    position: relative;
    outline: 0;
    width: 100%;
    border: 1px solid #415363;
    border-radius: 4px;
    padding: 8px 24px 8px 15px;
    color: #415363;
    font-size: 18px !important;
    line-height: 1.5;
    -webkit-transition: all .1s ease-in-out;
    transition: all .1s ease-in-out;
    box-sizing: border-box;
    font-family: "proxima-nova",sans-serif;
    resize: vertical;
}

.input {
    position: absolute;
}

.fname-toggle, .lname-toggle, .job-toggle, .email-toggle, .company-toggle, .business-description, .ehr-description, .software-toggle, .entity-toggle, .website-toggle, .phone-toggle, .more-toggle, .marketsegment-toggle, .FirstName-toggle,
.LastName-toggle, .JobTitle-toggle, .CompanyName-toggle
{
    font-size: 14px;
    font-weight: 600;
    display: none;
}

.ehr-select, .software-input, .entity-yes {
    display: none;
}

.input {
    position: relative;
    width: 100%;
    margin-right: 0 !important;
    margin-bottom: 20px;
}

::-webkit-input-placeholder {
    color: #415363;
    font-weight: 100;
    white-space: wrap;  
    top: 10px;
    vertical-align: top;
}
  
:-ms-input-placeholder {
    color: #415363;
    font-weight: 100;
    white-space: wrap;  
    top: 10px;
    vertical-align: top;
}
  
::placeholder {
    color: #415363;
    font-weight: 100;
    white-space: wrap;   
    top: 10px;
    vertical-align: top;
}

input:focus,
select:focus,
textarea:focus,
button:focus {
    outline: none;
}

.selectdiv {

    position: relative;
    width: 100%;
    height: 50px;
    display: inline-block;
 
}

.selectdiv select {
    
    background: #fff;
    font-size: 18px;
    color: #415363;
    width: 100%;
    text-indent: 12px;
    -webkit-appearance: none;
    -moz-appearance: none;
    appearance: none;
    height: inherit;
    border: 1px solid #415363;
    border-radius: 4px;
     
} 

.selectdiv:after {

    content: '▼';
    color: #415363;
    right: 6px;
    top: 20px;
    font-size: 9px;
    position: absolute;
    pointer-events: none;
}

select::-ms-expand {

   display: none;
}

/*** Checkbox ***/

[type="checkbox"]:not(:checked),
[type="checkbox"]:checked {
    position: absolute;
    left: -9999px;
}

[type="checkbox"]:not(:checked)+label,
[type="checkbox"]:checked+label {
    position: relative;
    cursor: pointer;
}

/* checkbox aspect */
[type="checkbox"]:not(:checked)+label:before,
[type="checkbox"]:checked+label:before {
    width: 16px;
    height: 16px;
    position: relative;
    background-color: #FFFFFF;
    content: "";
    display: inline-block;
    visibility: visible;
    border: 2px solid #98a4af;
    border-radius: 2px;
    top: 4px;
}

[type="checkbox"]:hover:not(:checked)+label:before,
[type="checkbox"]:hover:checked+label:before {
    border: 2px solid #dd7a08;
    border-radius: 2px;
}

/* checked mark aspect */
[type="checkbox"]:not(:checked)+label:after,
[type="checkbox"]:checked+label:after {
    width: 16px;
    height: 16px;
    top: 3px;
    left: -20px;
    position: relative;
    background-color: #005677;
    border: solid 2px #005677;
    content: "\2713";
    color: #fff;
    display: inline-block;
    visibility: visible;
}

[type="checkbox"]:checked + .independent:after, [type="checkbox"]:checked + .cb-physician:after {
    top: -20px;
    left: 0px;
}

[type="checkbox"]:hover:not(:checked)+label:after,
[type="checkbox"]:hover:checked+label:after {
    background-color: #dd7a08;
    border: solid 2px #dd7a08;
}
/* checked mark aspect changes */
[type="checkbox"]:not(:checked)+label:after {
    opacity: 0;
    transform: scale(0);
}

[type="checkbox"]:checked+label:after {
    opacity: 1;
    transform: scale(1);
}

/* disabled checkbox */
[type="checkbox"]:disabled:not(:checked)+label:before,
[type="checkbox"]:disabled:checked+label:before {
    box-shadow: none;
    border-color: #bbb;
    background-color: #ddd;
}

[type="checkbox"]:disabled:checked+label:after {
    color: #999;
}

[type="checkbox"]:disabled+label {
    color: #aaa;
}

.check-padding {
    margin-bottom: 10px;
}

input.submit {
    position: relative;
    width: 100%;
    font-size: 16px;
    font-weight: 600;
    letter-spacing: normal;
    line-height: 1.18;
    text-align: center;
    overflow: hidden;
    border: solid 2px #7b4783;
    border-radius: 4px;
    padding: 13px 23px;
    background-color: #7b4783;
    display: inline-block;
    color: #fff;
    cursor: pointer;
    -webkit-transition: color .3s ease-in-out, background-color .3s ease-in-out;
    transition: color .3s ease-in-out, background-color .3s ease-in-out;
}

input.submit:hover {
    background-color: #ffffff;
    color: #7b4783;
    border: 2px solid #7b4783;
    -webkit-transition: color .3s ease-in-out, background-color .3s ease-in-out;
    transition: color .3s ease-in-out, background-color .3s ease-in-out;
}

footer {
    background-color: #7b4783;
    padding-top: 35px;
    padding-bottom: 35px;
    max-width: 2500px;
    margin: 0 auto;
    width: 100%;
    position: relative;
}

.footer-left {
    width: 40%;
}

.footer-right {
    width: 100%;
}

footer .copyright {
    position: relative;
    width: 100%;
    display: -webkit-box;
    display: -ms-flexbox;
    display: flex;
    justify-content: space-between;
}

footer.form-template .copyright .copy-col p {
    font-size: 18px;
    line-height: 1.5;
    font-weight: 400;
    color: #f2f2f3;
}

footer .copyright ul {
    padding: 0;
    position: relative;
    
}

footer .copyright ul li {
    display: inline-block;
    position: relative;
    padding-left: 45px;
    padding-bottom: 0;
    max-width: initial;
}

footer ul li {
    list-style: none;
    color: #f2f2f3;
    font-size: 18px;
    font-weight: normal;
    line-height: 1.37;
}

footer.form-template .copyright ul li a {
    font-size: 18px;
    line-height: 1.5;
}

footer .copyright ul li:first-child a {
    position: relative;
    margin-right: 65px;
}

footer .copyright ul a {
    font-size: 18px;
    font-weight: 400;
    color: #f2f2f3;
    font-stretch: normal;
    font-style: normal;
    line-height: 1.37;
    letter-spacing: normal;
    -webkit-transition: all 0.3s ease-in-out;
    -o-transition: all 0.3s ease-in-out;
    transition: all 0.3s ease-in-out;
}

footer .copyright ul li:first-child a::after {
    content: "";
    position: absolute;
    top: 50%;
    right: -65px;
    width: 55px;
    height: 25px;
    -webkit-transform: translateY(-50%);
    -o-transform: translateY(-50%);
    transform: translateY(-50%);
    background-image: url(https://surescripts.com/themes/surescripts/templates/dist/images/Check_icon.svg);
    background-repeat: no-repeat;
    background-size: contain;
    background-position: center;
}

@media only screen and (max-width: 768px) {
    .section-2 {
        display: block;
    }

    .section-2 .right {
        width: 100%;
        margin-top: -160px;
    }

    .section-2 .left {
        width: 100%;
        margin-top: 60px;
        padding-right: 0;
    }

    footer .copyright {
        display: block;
    }

    footer .copyright ul li {
        padding-left: 10px;
    }

    .footer-left, .footer-right {
        width: 100%;
    }

    .footer-right {
        margin-left: -9px;
    }
}

@media only screen and (max-width: 500px) {
    
}

@media only screen and (max-width: 375px) {
    
}