:root{--small-screen:576px;--medium-screen:768px;--large-screen:992px;--xlarge-screen:1230px;--xxlarge-screen:1440px;--max-width:1170px;--gutter-width:40px;--page-margins:20px;@media screen and (min-width:768px){--gutter-width:60px;--page-margins:30px}--primary-font:'Sarabun','Futura','Trebuchet MS',-apple-system,system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Cantarell,Noto Sans,sans-serif,BlinkMacSystemFont,"Segoe UI",Roboto,"Helvetica Neue",Arial,sans-serif;--secondary-font:'Source Sans Pro',-apple-system,system-ui,-apple-system,Segoe UI,Roboto,Ubuntu,Cantarell,Noto Sans,sans-serif,BlinkMacSystemFont,"Segoe UI",Roboto,"Helvetica Neue",Arial,sans-serif;--black:#2a2c32;--gray:#656a7a;--gray-light:#cbd0dd;--gray-lighter:#e8ebf5;--gray-lightest:#f8f7ff;--white:#fff;--blue:#1d4589;--blue-dark:#07275e;--blue-darker:#001d4e;--blue-darkest:#00153c;--blue-gray:#3e4351;--green:#76bc43;--pink:#fe6d6d;--teal:#59c3b9;--polo-blue:#8a95cd;--success:#00bc8c;--warning:#f39c10;--error:#fd5151;--notification:#3598db;--gradient-pbt:linear-gradient(90deg,rgba(19,225,201,1) 0%,rgba(16,96,205,1) 29%,rgba(101,3,224,1) 67%,rgba(142,13,210,1) 100%);--gradient-pb:linear-gradient(360deg,#001c4f 0%,#1c4488 100%);--gradient-p:linear-gradient(0deg,rgba(13,0,88,1) 0%,rgba(21,43,155,1) 58%);--gradient-w:linear-gradient(0deg,rgba(232,235,245,1) 0%,rgba(255,255,255,0) 100%);--gradient-w-180:linear-gradient(180deg,rgba(232,235,245,1) 0%,rgba(255,255,255,0) 100%);--gradient-gt:linear-gradient(45deg,rgba(114,208,1,1) 1%,rgba(19,225,201,1) 100%);--gradient-black:linear-gradient(180deg,rgba(62,67,81,0.0001) 1.97%,#2a2c32 111.62%)}.formImage{overflow:hidden}.formImage__content{padding:0 0 45px;position:relative;@media (min-width:992px){display:-webkit-box;display:-ms-flexbox;display:flex;padding-bottom:0}&::before{background:url('https://www.centerforvein.com/img/design/formImage-decoration.svg') center bottom /700px auto no-repeat;content:'';display:block;height:100%;left:calc(-1 * 40px / 2);left:calc(-1 * var(--gutter-width) / 2);position:absolute;right:calc(-1 * 40px / 2);right:calc(-1 * var(--gutter-width) / 2);top:0;@media (min-width:992px){background-position:right -30px bottom -15px;background-size:900px auto;display:-webkit-box;display:-ms-flexbox;display:flex;padding-bottom:0;right:calc(-1 * 40px / 2 - 90px);right:calc(-1 * var(--gutter-width) / 2 - 90px)}@media (min-width:1440px){right:calc(-1 * 40px / 2 - 180px);right:calc(-1 * var(--gutter-width) / 2 - 180px)}}.formImage--image-right &{@media (min-width:992px){-webkit-box-orient:horizontal;-webkit-box-direction:reverse;-ms-flex-direction:row-reverse;flex-direction:row-reverse}&::before{@media (min-width:992px){left:calc(-1 * 40px / 2 - 90px);left:calc(-1 * var(--gutter-width) / 2 - 90px);right:calc(-1 * 40px / 2);right:calc(-1 * var(--gutter-width) / 2);-webkit-transform:scaleX(-1);transform:scaleX(-1)}@media (min-width:1440px){left:calc(-1 * 40px / 2 - 180px);left:calc(-1 * var(--gutter-width) / 2 - 180px)}}}}.formImage__header{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;-webkit-box-pack:center;-ms-flex-pack:center;justify-content:center;margin:0 calc(-1 * 40px / 2);margin:0 calc(-1 * var(--gutter-width) / 2);min-height:430px;padding:60px calc(40px / 2) calc(60px + 80px);padding:60px calc(var(--gutter-width) / 2) calc(60px + 80px);position:relative;@media (min-width:768px){margin:0 auto;max-width:896px;padding-left:60px;padding-right:60px;width:100%}@media (min-width:992px){margin:30px 0 0;max-width:none;min-height:633px;padding:60px 90px 60px 30px;width:67%}@media (min-width:1230px){padding-left:90px}@media (min-width:1440px){padding-left:0}.formImage--image-right &{@media (min-width:992px){padding-left:90px;padding-right:30px}@media (min-width:1230px){padding-right:90px}@media (min-width:1440px){padding-right:0}}}.formImage__header-inner{max-width:570px;width:100%}.formImage__background{background:-webkit-gradient(linear,left bottom,left top,from(#001c4f),to(#1c4488));background:linear-gradient(360deg,#001c4f 0%,#1c4488 100%);background:var(--gradient-pb);height:100%;left:0;position:absolute;top:0;width:100%;@media (min-width:768px){border-radius:5px}@media (min-width:1440px){left:-105px;width:calc(100% + 105px)}&.formImage__background--image{&::after{background:-webkit-gradient(linear,left bottom,left top,from(#001c4f),to(#1c4488));background:linear-gradient(360deg,#001c4f 0%,#1c4488 100%);background:var(--gradient-pb);content:'';display:block;height:100%;left:0;opacity:0.5;position:absolute;top:0;width:100%;@media (min-width:768px){border-radius:5px}}}.formImage--image-right &{@media (min-width:1440px){left:auto;right:-105px}}}.formImage__background-image{display:block;height:100%;font-family:"object-fit:cover";-o-object-fit:cover;object-fit:cover;width:100%;@media (min-width:768px){border-radius:5px}}.formImage__header-inner{position:relative}.formImage__subtitle{margin:20px 0 0}.formImage__main{margin:-80px calc(-1 * 40px / 4) 0;margin:-80px calc(-1 * var(--gutter-width) / 4) 0;position:relative;@media (min-width:768px){margin-left:calc(40px / 4);margin-left:calc(var(--gutter-width) / 4);margin-right:calc(40px / 4);margin-right:calc(var(--gutter-width) / 4)}@media (min-width:992px){margin:0 0 30px;width:33%}}.formImage__main-inner{background:#fff;background:var(--white);border-radius:5px;margin:0 auto;max-width:530px;padding:30px calc(40px / 4) 45px;padding:30px calc(var(--gutter-width) / 4) 45px;width:100%;@media (min-width:576px){padding:45px 60px 60px}@media (min-width:992px){display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;height:100%;-webkit-box-pack:center;-ms-flex-pack:center;justify-content:center;margin:0 0 0 -60px;max-width:none;padding:30px calc(40px / 4) 45px;padding:30px calc(var(--gutter-width) / 4) 45px;width:calc(100% + 60px)}@media (min-width:1230px){padding:45px 60px 60px}@media (min-width:1440px){margin-right:-90px;width:calc(100% + 60px + 90px)}.formImage--image-right &{@media (min-width:992px){margin:0 -60px 0 0}@media (min-width:1440px){margin-left:-90px}}}.formImage__form{.formImage--success &{display:none}}.formImage__form-main{padding:15px 0 0}.formImage__form-group{display:-webkit-box;display:-ms-flexbox;display:flex;margin:0 -15px}.formImage__form-label{margin:15px 0 0;.formImage__form-group &{padding:0 15px;width:50%}}.formImage__form-button-outer{margin:45px 0 0;text-align:center}.formImage__success{display:none;.formImage--success &{display:block}}.formImage__success-description{margin-top:30px}