#lib-block-109-21197080 .container-1{container-type:inline-size}#lib-block-109-21197080 .col{container-type:inline-size}#lib-block-109-21197080 .col-1{align-items:center}#lib-block-109-21197080 form.form-1{display:flex;flex-direction:row;flex-wrap:wrap;gap:12px;row-gap:12px}#lib-block-109-21197080 form.form-1 .text-5{margin-top:-8px;margin-bottom:12px}#lib-block-109-21197080 form.form-1>div{flex-basis:100%;max-width:100%;margin-bottom:0}@media (min-width:768px){#lib-block-109-21197080 form.form-1>div:has(input[name="postcode-patient"]),#lib-block-109-21197080 form.form-1>div:has(input[name="plaats-patient"]),#lib-block-109-21197080 form.form-1>div:has(input[name="telefoonnummer-patient"]),#lib-block-109-21197080 form.form-1>div:has(input[name="email-patient"]),#lib-block-109-21197080 form.form-1>div:has(input[name="telefoonnummer-verwijzer"]),#lib-block-109-21197080 form.form-1>div:has(input[name="email-verwijzer"]),#lib-block-109-21197080 form.form-1>div:has(input[name="datum"]),#lib-block-109-21197080 form.form-1>div:has(input[name="plaats"]){flex-basis:calc(50% - 6px);max-width:calc(50% - 6px)}}#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"]){display:flex;flex-wrap:wrap}#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"])>div{flex-direction:row-reverse;width:100%;padding:12px 0}#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"])>div:not(:last-child){border-bottom:1px solid rgba(105,68,40,0.25)}#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"])>div div{margin-right:0}@media (min-width:768px){#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"])>div div{width:30px;height:30px}}#lib-block-109-21197080 form.form-1 .form-field-5 .checkboxes:has([name="visuele-beperking[]"])>div label{flex-grow:1;padding-right:24px}#lib-block-109-21197080 .card-2{width:560px;max-width:100%}#lib-block-109-21197080 .card-2.light{box-shadow:0px 10px 20px rgba(0,0,0,0)}#lib-block-109-21197080 .card-2.light[data-shape="all"]{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.light>x-shape-bg{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.light-shade{box-shadow:0px 10px 20px rgba(0,0,0,0)}#lib-block-109-21197080 .card-2.light-shade[data-shape="all"]{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.light-shade>x-shape-bg{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.dark-shade{box-shadow:0px 10px 20px rgba(0,0,0,0)}#lib-block-109-21197080 .card-2.dark-shade[data-shape="all"]{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.dark-shade>x-shape-bg{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.dark{box-shadow:0px 10px 20px rgba(0,0,0,0)}#lib-block-109-21197080 .card-2.dark[data-shape="all"]{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .card-2.dark>x-shape-bg{filter:drop-shadow(0px 10px 20px rgba(0,0,0,0));will-change:filter}#lib-block-109-21197080 .media-4.dark::after{background-color:#85BCED}#lib-block-109-21197080 .media-4.dark>x-shape::after{background-color:#85BCED}#lib-block-109-21197080 .text-5.dark{color:#694428}#lib-block-109-21197080 .form-field-5>div label{font-size:18px}