/* Hide Submit Button */
.form-submit-button {
    display: none !important;
  }
  
  /* Hide Print Button */
  #print-preview {
    display: none !important;
  }
  /* Hiding Language dropdown*/
  #form-element-wrapper_1{
      visibility: hidden !important;
    }
  
    #form-element-wrapper_2
{
    display: none;
}

    /* TO CONTROL SCREEN SCROLL*/
.form-section, .form-item {
    display: block;
    overflow: hidden;
    padding-left: inherit;
    padding-bottom: 16px;
}
.header_container {
    display: flex
;
    justify-content: space-between;
    column-gap: 30px !important;
}
.divTableRow {
    display: table-row;
}
.divTableCell {
    display: table-cell;
}
.midAddr {
    /* margin-left: 20%; */
    /* margin-right: 20%; */
    width: auto;
    padding-inline-start: 18%;
}
.divTableCellN {
    display: table-cell;
    padding-top: 6px;
    padding-right: 5px;
    text-align: end;
}
.divTableCellM {
    display: table-cell;
    padding-top: 6px;
    padding-right: 5px;
    text-align: left;
}
.UniquePhoneTable  {
    width: 51%;
   
}

.box-Contents {
    width: 40%;
    float: left;
    position: relative;
}

.unitNumber {
    text-align: left;
}
.blanklinecallout {
    position: absolute;
    width: 1px;
    height: 1px;
    padding: 0;
    margin: -1px;
    overflow: hidden;
    clip: rect(0, 0, 0, 0);
    border: 0;
}

ul {
    margin-inline-end: 20px;
}
:lang(ar) ul,
:lang(fa) ul  {
    margin-inline-start: 25px;
}
ol {
    margin-inline-start: 20px;
    margin-inline-end: 20px;
}
.address-ltr1
{

    direction: ltr !important; 

    unicode-bidi: embed; 

    white-space: nowrap; 

    display: inline-block; 

  } 

.blank-line {
    display: inline-block;
    border-bottom: 2px solid black;
    width: 40px;
    height: 11px;
    margin-inline-start: 10px;
}
.question {
    display: flex;
    margin-top: 10px;
    gap: 5px;
    flex-wrap: wrap;
    margin-inline-start: 10px;
}
.question3 {
    display: contents;
    gap: 5px;
    flex-wrap: wrap;
    margin-top: 10px;
    margin-inline-start: 10px;
}
.question3Padding {
    padding-inline-start: 10px;
}
.subList {
    list-style: none;
}
.subListQuestion {
    display: flex;
    gap: 5px;
    flex-wrap: wrap;
    margin-top: 5px;
    margin-inline-start: -10px;
}
.subListQuestion3 {
    display: flex;
    gap: 5px;
    flex-wrap: wrap;
    margin-top: 5px;
    margin-inline-start: -10px;
}
:lang(hy) .subListQuestion3 {
    padding-top: 10px !important;
}
.yesNoQuestion {
    margin-top: 10px;
    margin-inline-start: 10px;
}
.flexLine {
    flex-grow: 1;
    border-bottom: 1.5px solid #000;
    height: 18px;
    margin-bottom: 10px;
    margin-inline-end: 10px;
}
:lang(ar) .flexLine,
:lang(fa) .flexLine {
    height: 25px !important;
}
.manualLine {
    display: inline-block;
    border-bottom: 1.5px solid black;
    width: 100px;
    height: 18px;

}
:lang(ar) .manualLine,
:lang(fa) .manualLine {
    height: 25px !important;
}
.dateLine {
    display: inline-block;
    border-bottom: 1.5px solid black;
    width: 150px;
    height: 18px;
}
.dateLineQ3 {
    display: inline-block;
    border-bottom: 1.5px solid black;
    width: 150px;
    height: 18px;
}
:lang(ar) .dateLine,
:lang(fa) .dateLine {
    height: 25px !important;
}
:lang(ar) .dateLineQ3,
:lang(fa) .dateLineQ3 {
    height: 25px !important;
}
.ICDLine {
    display: inline-block;
    border-bottom: 2px solid black;
    width: 200px;
    height: 18px;
}
:lang(ar) .ICDLine,
:lang(fa) .ICDLine {
    height: 25px !important;
}
.line_block3 {
    display: inline-flex;
    align-items: center;
    width: 150px;
}
.diagnosisLine {
    width: 800px;
}
.olSubList {
    padding-bottom: 0px !important;
}
:lang(ja) .yesNoBlock,
:lang(ko) .yesNoBlock,
:lang(zh-CN) .yesNoBlock,
:lang(zh-TW) .yesNoBlock,
:lang(th) .yesNoBlock,
:lang(vi) .yesNoBlock {
    white-space: nowrap;
    width: 25%;
}
.yesPadding {
    margin-inline-end: 10px;
}
.NoPadding {
    margin-inline-start: 10px;
    margin-inline-end: 10px;
}
.yesNoLine {
    width: 100%;
    border-bottom: 1.5px solid #000;
    height: 17px;
    margin-inline-end: 5px;
}
.Padding{
    margin-top:10px;
}

.asterisk-list {
  list-style-type: "*    ";
}
.divTableCellP {
    display: table-cell;
    padding-top: 6px;
    padding-right: 5px;
    text-align: left;
}
.address-ltr1
{

    direction: ltr !important; 

    unicode-bidi: embed; 

    white-space: nowrap; 

    display: inline-block; 

  } 
.signBlock {
    display: flex;
    gap: 5px;
    flex-wrap: wrap;
    margin-bottom: 10px;
}
.headerFields {
    padding-top: 80px;
}

@media only screen and (max-width: 768px)
{
   .header_container {
   flex-direction: column;
   justify-content: center;
   align-items: center !important;
}
.form-fieldm {
    display: block;
    /* align-items: center; */
    /* margin-bottom: 5px; */
    grid-template-columns: 33% 41% 11% 14%;
    /* gap: 10px; */
    gap: 0.5rem;
}
.mailingDate {
    text-align: center;
}
.UniquePhoneTable {
    width: 100%;
}    .form-field {
        display: block;
    }   
        .divTableRowW {
        display: block;
        width: auto;
        margin-top: 20px !important;
    }
  .divTableCellN {
    display: table-cell;
    padding-top: 6px;
    padding-right: 5px;
    text-align: end;
}
:lang(hy) .divTableCellN,
:lang(ru).divTableCellN {
        display: table-cell;
        padding-top: 6px;
        padding-right: 5px;
        text-align: end;
        width: 70%;
        align-content: end;
    }
    :lang(fil) .divTableCellN
 {
        display: table-cell;
        padding-top: 6px;
        padding-right: 5px;
        text-align: end;
        
        align-content: end;
    }
     .divTableCellP{
        display: block;
        text-align:center;
        white-space: nowrap;
      
    }
    .headerFields {
        padding-top: 0px !important;
    }
    .divTableCellT{
    text-align:center;
}
.divTableCell{
    text-align:center !important;
    display: block;
}
    .box-Contents {
    width:auto;
    float: left;
    position: relative;
    white-space: nowrap;
}
.LOGO{
    padding-top:20px;
}
.divTableCellWP {
    display: contents;
    padding-right: 25px;
    text-align: center;
    width: 5%;
    padding-bottom: 0px;
}
.divTableCellW {
    display: contents;
    padding-right: 25px;
    text-align: center;
    width: 5%;
    padding-bottom: 0px;
}
.midAddr{
    padding-inline-start:4%;
}
.Padding{
    margin-top:20px;
}
:lang(ar).divTableCellP,
:lang(fa) .divTableCellP{
        display: block;
        text-align: center !important;
    }
    :lang(ar).divTableCellT,
        :lang(fa).divTableCellT  {
        text-align: center !important;
    }
:lang(ja) .yesNoBlock,
:lang(ko) .yesNoBlock,
:lang(zh-CN) .yesNoBlock,
:lang(zh-TW) .yesNoBlock,
:lang(th) .yesNoBlock,
:lang(vi) .yesNoBlock {
    width: 180px !important;
}
.BYBOffice{
    padding-top:20px;
}
.signBlock {
    display: grid;
}
.question {
    display: grid;
}
.manualLine {
    padding-top: 10px;
    width: 400px;
}
.dateLine {
    padding-top: 10px;
    width: 400px;
}
.ICDLine {
    padding-top: 10px;
    width: 100%;
}
.olSubList {
    width: 100%;
}
.subListQuestion {
    width: 400px;
    display: grid;
}
.subListQuestion3 {
    display: grid !important;
}
.dateLineQ3 {
    width: 100% !important;
}
.signBlockMini {
    width: 100% !important;
}
}



    /* Media query for iPad mini */

    @media only screen 
    and (min-device-width: 768px) 
    and (max-device-width: 768px) 
    and (min-device-height: 1024px) 
    and (max-device-height: 1024px) 
    and (-webkit-min-device-pixel-ratio: 1) 
    
    {
        .header_container {
            flex-direction: column;
            justify-content: center;
            align-items: center !important;
         }
     .midAddr {
      padding-inline-start: 25%;
    }
    .UniquePhoneTable {
        width: 60%;
        margin-inline-start: 4%;
    }
    .box-Contents {
        width: auto;
        float: left;
        position: relative;
    }
    .BYBOffice {
        padding-top: 20px;
        white-space: nowrap;
    }
        .divTableCellP {
        display: block;
         text-align: center; 
    }
    .manualLine {
    width: 100% !important;
    }
.dateLine {
   width: 100% !important;
}
.ICDLine {
    padding-top: 10px;
    width: 98.5%;
}
.dateLineQ3 {
    width: 98.5% !important;
}
.subListQuestion {
    width: 100%;
}
.signBlockMini {
    width: 97.5% !important;
}
}


    

            @media screen and (max-device-width: 821px)
and (max-device-height: 1181px)
and (min-device-width: 819px)
and (min-device-height: 1179px) {
    :lang(fil).UniquePhoneTable,
    :lang(ru).UniquePhoneTable {
    width: 53%;
}
.signBlockAir {
    width: 800px !important;
}
:lang(hy) .dateLine,
:lang(fil) .dateLine,
:lang(vi) .dateLine{
    width: 100px !important;
}
}