.refer-main { padding: 48px 0 72px; }
.refer-wrap { max-width: 820px; }
.container { background: #fff; border: 1px solid var(--line); border-radius: 20px; padding: 40px; box-shadow: 0 20px 50px rgba(15,76,92,.08); }
.header-row { display: flex; justify-content: space-between; align-items: flex-start; gap: 16px; flex-wrap: wrap; }
.header-row h1 { font-size: clamp(28px, 4vw, 38px); margin: 0; }
.hipaa-badge { background: var(--teal-soft); color: var(--teal); font-size: 12px; font-weight: 800; letter-spacing: .1em; padding: 8px 14px; border-radius: 999px; white-space: nowrap; }
.subtitle { color: var(--muted); font-size: 15px; margin: 16px 0 28px; }
.required { color: var(--coral); }

.form-section { border-top: 1px solid var(--line); padding-top: 28px; margin-top: 28px; }
.form-section:first-of-type { border-top: 0; padding-top: 0; margin-top: 0; }
.section-title { font-size: 20px; margin-bottom: 20px; }
.form-group { margin-bottom: 20px; }
.form-row { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: 16px; margin-bottom: 20px; }

label { display: block; font-weight: 600; font-size: 15px; color: var(--ink); margin-bottom: 6px; }
input[type="text"], input[type="tel"], input[type="email"], input[type="date"], textarea {
  width: 100%; min-height: 48px; padding: 12px 14px; font: inherit; font-size: 16px; color: var(--ink);
  background: var(--ground); border: 1.5px solid var(--line); border-radius: 10px;
}
textarea { min-height: 120px; resize: vertical; }
input:focus, textarea:focus { outline: none; border-color: var(--teal); box-shadow: 0 0 0 3px rgba(15,76,92,.15); background: #fff; }
input[type="radio"], input[type="checkbox"] { accent-color: var(--teal); width: 18px; height: 18px; }

.checkbox-grid { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: 10px 16px; }
.checkbox-grid label { font-weight: 500; }

.file-upload { border: 2px dashed var(--line); border-radius: 14px; padding: 28px; text-align: center; cursor: pointer; background: var(--ground); }
.file-upload:hover { border-color: var(--teal); }
.file-upload-input { display: none; }
.file-upload-label { cursor: pointer; color: var(--muted); font-weight: 500; }
.file-upload-icon { font-size: 28px; margin-bottom: 6px; }
.file-name { margin-top: 10px; color: var(--teal); font-weight: 600; }

.submit-btn {
  width: 100%; min-height: 54px; margin-top: 12px; border: 0; border-radius: 999px; cursor: pointer;
  background: var(--coral); color: #fff; font: inherit; font-size: 17px; font-weight: 700;
}
.submit-btn:hover { background: var(--coral-hover); }
.submit-btn:disabled { opacity: .6; cursor: wait; }

.success-message, .error-message { display: none; padding: 20px; border-radius: 12px; margin-top: 20px; font-weight: 500; }
.success-message { background: var(--teal-soft); color: var(--teal); }
.error-message { background: #FBEAE5; color: #8E2F14; }

.refer-help { text-align: center; margin-top: 24px; }

.pac-container { font-family: "Plus Jakarta Sans", sans-serif; }

@media (max-width: 640px) {
  .container { padding: 24px 18px; border-radius: 16px; }
  .form-row, .checkbox-grid { grid-template-columns: minmax(0, 1fr); }
}

/* keep inputs from forcing grid columns wider than a phone screen */
input, textarea, .form-row > div, .form-group > div > div { min-width: 0; }