.request_visit_form {
  width: 1000px;
  margin: 48px auto;
  display: flex;
  flex-direction: column;
}
@media screen and (max-width: 768px) {
  .request_visit_form {
    width: 330px;
  }
}
.request_visit_form #edit-markup h1 {
  color: #94278f;
  font-family: Avenir Medium, sans-serif;
  font-size: 24px;
  font-weight: 700;
  text-align: center;
  margin-bottom: 30px;
}
.request_visit_form #edit-markup-01 {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-bottom: 20px;
}
.request_visit_form #edit-markup-02 {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-bottom: 20px;
}
.request_visit_form #edit-markup-03 {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-top: 20px;
}
.request_visit_form #edit-markup-03 h2 {
  font-family: Avenir Medium, sans-serif;
  font-size: 20px;
  font-weight: 700;
  margin-bottom: 10px;
}
.request_visit_form .js-form-type-textfield input {
  width: 100%;
  border: 1px solid #707070;
  padding: 12px;
  box-sizing: border-box;
  margin-bottom: 20px;
  margin-left: 0;
  margin-right: 0;
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
}
.request_visit_form .js-form-type-textfield label {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
}
.request_visit_form .js-form-type-textfield #edit-hcp {
  width: 230px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-type-textfield #edit-hcp {
    width: 180px;
  }
}
.request_visit_form .js-form-type-textfield #edit-mail {
  width: 40%;
  margin-bottom: 0px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-type-textfield #edit-mail {
    width: 100%;
    margin-bottom: 20px;
  }
}
.request_visit_form .js-form-type-textfield #edit-phone-number {
  width: 40%;
  margin-bottom: 0px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-type-textfield #edit-phone-number {
    width: 100%;
    margin-bottom: 20px;
  }
}
.request_visit_form .js-form-type-textfield #edit-fax-number {
  width: 40%;
  margin-bottom: 0px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-type-textfield #edit-fax-number {
    width: 100%;
    margin-bottom: 20px;
  }
}
.request_visit_form #edit-divemail {
  align-items: center;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-type-checkbox {
    margin-bottom: 20px;
  }
}
.request_visit_form .js-form-type-checkbox label {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
}
.request_visit_form .js-form-item-postal-code {
  margin-left: -9px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-item-postal-code {
    margin-left: 0px;
  }
}
.request_visit_form .js-form-item-postal-code #edit-postal-code {
  margin-top: -15px;
  margin-bottom: 0px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-item-postal-code #edit-postal-code {
    margin-top: 0px;
    margin-bottom: 20px;
  }
}
.request_visit_form .js-form-item-city {
  margin-right: -9px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-item-city {
    margin-right: 0px;
  }
}
.request_visit_form .js-form-item-city #edit-city {
  margin-top: -15px;
  margin-bottom: 0px;
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-item-city #edit-city {
    margin-top: 0px;
    margin-bottom: 20px;
  }
}
@media screen and (max-width: 768px) {
  .request_visit_form .js-form-item-hcp {
    display: flex;
  }
}
.request_visit_form .js-form-type-select select {
  width: 100%;
  border: 1px solid #707070;
  padding: 12px;
  box-sizing: border-box;
  margin-bottom: 20px;
  margin-left: 0;
  margin-right: 0;
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
}
.request_visit_form #edit-divflex #edit-info-col-1 {
  display: flex;
  flex-direction: column;
}
.request_visit_form #edit-divflex #edit-info-col-2 {
  display: flex;
  flex-direction: column;
}
.request_visit_form .captcha__title {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-bottom: 20px;
}
.request_visit_form .js-form-item-captcha-response {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-bottom: 20px;
}
.request_visit_form .captcha__description {
  font-size: 16px;
  font-family: MyriadPro, sans-serif;
  line-height: 22px;
  color: #787878;
  margin-bottom: 20px;
}
.request_visit_form #edit-captcha-response {
  width: 10%;
}
.request_visit_form #edit-actions {
  display: flex;
  justify-content: end;
}
@media screen and (max-width: 768px) {
  .request_visit_form #edit-actions {
    justify-content: start;
  }
}
.request_visit_form #edit-actions input {
  background-color: #9d1f30;
  font-family: Montserrat Light, sans-serif;
  font-size: 15px;
  color: #fff;
  padding: 8px 50px;
  box-sizing: border-box;
  border: 1px solid #9d1f30;
}
.request_visit_form #edit-actions input:hover {
  cursor: pointer;
  background-color: #fff;
  color: #9d1f30;
}
.request_visit_form #edit-actions--2 {
  display: flex;
  justify-content: end;
}
@media screen and (max-width: 768px) {
  .request_visit_form #edit-actions--2 {
    justify-content: start;
  }
}
.request_visit_form #edit-actions--2 input {
  background-color: #9d1f30;
  font-family: Montserrat Light, sans-serif;
  font-size: 15px;
  color: #fff;
  padding: 8px 50px;
  box-sizing: border-box;
  border: 1px solid #9d1f30;
}
.request_visit_form #edit-actions--2 input:hover {
  cursor: pointer;
  background-color: #fff;
  color: #9d1f30;
}