.skip-link { position: fixed; left: 12px; top: -70px; z-index: 1000; background: #fff; color: #123f6f; padding: 12px 18px; border: 2px solid currentColor; }
.skip-link:focus { top: 12px; }
.site-tools { width: min(1180px, calc(100% - 32px)); margin: 12px auto; display: flex; justify-content: flex-end; align-items: center; flex-wrap: wrap; gap: 8px 20px; font-size: 14px; }
.site-tools a, .site-tools button { color: #174b7a; text-decoration: underline; text-underline-offset: 3px; }
.site-tools button { border: 0; background: transparent; font: inherit; padding: 4px 0; cursor: pointer; }
.readability-panel { width: min(1180px, calc(100% - 32px)); margin: 12px auto; border-block: 1px solid #c8d9e7; padding: 18px 0; display: flex; flex-wrap: wrap; gap: 16px 24px; align-items: center; }
.readability-panel[hidden] { display: none; }
.readability-panel label { display: flex; gap: 8px; align-items: center; }
.readability-panel input { width: 20px; height: 20px; accent-color: #1f6fb8; }
.readability-panel button, .site-search button, .map-choice button { min-height: 44px; border: 1px solid #174b7a; border-radius: 6px; padding: 8px 18px; background: #174b7a; color: #fff; font: inherit; cursor: pointer; }
.footer--legal { display: grid; grid-template-columns: minmax(0, 1.6fr) minmax(200px, 1fr); font-size: 14px; line-height: 1.65; }
.footer--legal b { color: #123f6f; font-size: 17px; }
.footer--legal p { margin: 5px 0; overflow-wrap: anywhere; }
.footer--legal .footer-identity a { display: inline; font-weight: 600; }
.footer--legal nav { display: grid; align-content: start; gap: 5px; }
.footer--legal nav a { margin: 0; text-decoration: underline; text-underline-offset: 3px; }
.patient-page { width: min(1180px, calc(100% - 32px)); margin: 40px auto 64px; }
.patient-heading { max-width: 850px; margin-bottom: 36px; }
.patient-heading > a { color: #1f6fb8; font-weight: 700; }
.patient-heading h1 { font-size: 38px; line-height: 1.16; margin: 16px 0; overflow-wrap: anywhere; }
.patient-heading p { color: #52677d; margin-bottom: 0; }
.patient-layout { display: grid; grid-template-columns: minmax(0, 1fr) 250px; gap: 52px; align-items: start; }
.patient-content { min-width: 0; }
.patient-content section { padding: 28px 0; border-bottom: 1px solid #dce8f2; }
.patient-content section:first-child { padding-top: 0; }
.patient-content h2 { font-size: 26px; line-height: 1.25; margin-bottom: 18px; }
.patient-content h3 { font-size: 20px; }
.patient-content p, .patient-content li { overflow-wrap: anywhere; }
.patient-content ul, .patient-content ol { padding-left: 24px; }
.patient-content li { margin-bottom: 10px; }
.patient-content a { color: #174b7a; text-decoration: underline; text-underline-offset: 3px; }
.patient-content a:hover { color: #0b3255; }
.patient-facts { margin: 0; }
.patient-facts > div { display: grid; grid-template-columns: 185px minmax(0, 1fr); gap: 20px; padding: 12px 0; border-bottom: 1px solid #e1eaf2; }
.patient-facts dt { color: #52677d; }
.patient-facts dd { margin: 0; overflow-wrap: anywhere; }
.patient-nav { border-left: 1px solid #dce8f2; padding-left: 22px; }
.patient-nav h2 { font-size: 20px; margin: 0 0 14px; }
.patient-nav nav { display: grid; gap: 12px; }
.patient-nav a { color: #174b7a; text-underline-offset: 3px; }
.patient-nav p { margin-top: 22px; }
.patient-directory { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: 12px; padding: 28px 0; }
.patient-directory a { min-height: 70px; display: flex; align-items: center; justify-content: space-between; gap: 12px; padding: 16px; border: 1px solid #c8d9e7; border-radius: 6px; background: #fff; text-decoration: none; font-weight: 650; }
.patient-directory a:hover { border-color: #1f6fb8; }
.patient-actions { display: flex; flex-wrap: wrap; gap: 12px 22px; margin: 20px 0; }
.patient-content .price-list-download { color: #fff; text-decoration: none; max-width: 100%; white-space: normal; text-align: center; }
.patient-content .price-list-download:hover { color: #fff; }
.price-list-download[hidden] { display: none; }
.document-gallery { display: grid; grid-template-columns: repeat(3, minmax(0, 1fr)); gap: 16px; margin: 24px 0; }
.document-gallery figure { margin: 0; min-width: 0; }
.document-gallery img { width: 100%; height: 285px; object-fit: contain; background: #fff; border: 1px solid #c8d9e7; border-radius: 4px; }
.document-gallery figcaption { font-size: 14px; line-height: 1.45; color: #52677d; padding-top: 9px; }
.document-gallery--home img { height: 360px; }
.site-search { margin-bottom: 24px; }
.site-search label { display: block; margin-bottom: 10px; font-weight: 700; }
.site-search > div { display: flex; gap: 12px; }
.site-search input { min-width: 0; flex: 1; min-height: 48px; padding: 10px 14px; border: 1px solid #8ca7bc; border-radius: 6px; font: inherit; background: #fff; }
.site-search-results article { border-bottom: 1px solid #dce8f2; padding: 22px 0; }
.site-search-results h2 { font-size: 22px; margin-bottom: 10px; }
.site-search-results p { color: #52677d; margin-bottom: 0; }
.check-field a { color: #174b7a; text-decoration: underline; }
.map-choice { min-height: 260px; display: flex; flex-direction: column; align-items: center; justify-content: center; text-align: center; padding: 24px; }
.map-choice p { max-width: 650px; margin: 12px 0; }
.map-choice a { text-decoration: underline; }
.doctor-availability { padding-top: 0; }
.doctor-availability h2 { font-size: 28px; }
.doctor-availability > p { color: #52677d; }
.doctor-availability > button { min-height: 44px; background: #174b7a; color: #fff; border: 0; border-radius: 6px; padding: 10px 18px; font: inherit; cursor: pointer; }
.doctor-availability ul { padding-left: 24px; margin-top: 22px; }
.doctor-availability li { margin-bottom: 8px; }
.a11y-large { font-size: 20px; line-height: 1.7; }
.a11y-large p, .a11y-large li, .a11y-large dd, .a11y-large dt, .a11y-large label, .a11y-large .doctor-card p, .a11y-large .footer { font-size: 20px !important; line-height: 1.7; }
.a11y-large h1 { font-size: 36px; line-height: 1.25; }
.a11y-large h2 { font-size: 30px; line-height: 1.3; }
.a11y-no-images main img { display: none; }
.a11y-contrast, .a11y-contrast * { color: #111 !important; background: #fff !important; border-color: #111 !important; box-shadow: none !important; text-shadow: none !important; }
.a11y-contrast a { text-decoration: underline !important; }
.a11y-contrast button, .a11y-contrast input { outline: 1px solid #111; }
@media (max-width: 1180px) {
  .topbar { flex-wrap: wrap; gap: 12px; }
  .nav { justify-content: flex-end; flex-wrap: wrap; }
  .nav a { padding-inline: 9px; }
}
@media (max-width: 920px) {
  .topbar { flex-wrap: nowrap; }
  .nav { justify-content: stretch; flex-wrap: nowrap; }
  .patient-layout { grid-template-columns: minmax(0, 1fr); gap: 32px; }
  .patient-nav { border-left: 0; border-top: 1px solid #dce8f2; padding: 22px 0 0; }
  .patient-heading h1 { font-size: 30px; }
  .footer--legal { grid-template-columns: minmax(0, 1fr); }
}
@media (max-width: 560px) {
  .patient-page { margin-top: 28px; }
  .patient-heading h1 { font-size: 28px; }
  .patient-content h2 { font-size: 23px; }
  .patient-directory, .document-gallery { grid-template-columns: minmax(0, 1fr); }
  .patient-facts > div { grid-template-columns: minmax(0, 1fr); gap: 4px; }
  .document-gallery img { height: 400px; }
  .site-tools { justify-content: flex-start; gap: 4px 16px; font-size: 13px; }
  .site-search > div { flex-wrap: wrap; }
  .site-search input { flex-basis: 180px; }
  .site-search button { width: 100%; }
  .footer--legal { padding: 22px; font-size: 14px; }
}