{"id":3194,"date":"2024-01-12T17:59:48","date_gmt":"2024-01-12T08:59:48","guid":{"rendered":"https:\/\/new.mybc.jp\/cn\/?page_id=3194"},"modified":"2024-07-22T09:15:45","modified_gmt":"2024-07-22T00:15:45","slug":"confirm","status":"publish","type":"page","link":"https:\/\/new.mybc.jp\/cn\/vaccination-form\/confirm\/","title":{"rendered":"\u786e\u8ba4\u5c4f\u5e55\u3000\u9884\u8ba2\u51fa\u56fd\u524d\u75ab\u82d7"},"content":{"rendered":"\n<ul class=\"u-contact_status\">\n<li><span class=\"txt\">\u586b\u5199<\/span><span class=\"maru\">\u25cf<\/span><\/li>\n<li class=\"active\"><span class=\"txt\">\u786e\u8ba4<\/span><span class=\"maru\">\u25cf<\/span><\/li>\n<li><span class=\"txt\">\u5b8c\u6210<\/span><span class=\"maru\">\u25cf<\/span><\/li>\n<\/ul>\n<div class=\"u-contact_pickup\">\n<ul class=\"c-indent\">\n<li>\u30fb\u65b0\u51a0\u75ab\u82d7\u7684\u9884\u7ea6\u4e0d\u80fd\u901a\u8fc7\u6b64\u8868\u5355\u8fdb\u884c\u3002<br \/>\u8bf7\u901a\u8fc7\u5730\u65b9\u653f\u5e9c\u7684\u63a5\u79cd\u9884\u7ea6\u7f51\u7ad9\u8fdb\u884c\u9884\u7ea6\u3002<\/li>\n<li>\u30fb\u6211\u4eec\u4e0d\u63a5\u53d7\u6d41\u611f\u75ab\u82d7\u7684\u9884\u7ea6\uff0c\u8bf7\u5728\u8bca\u6240\u5f00\u653e\u65f6\u95f4\u5185\u76f4\u63a5\u524d\u6765\u5c31\u8bca\u3002<\/li>\n<\/ul><\/div>\n<p class=\"c-big\">\u8bf7\u586b\u5199\u4ee5\u4e0b\u9879\u76ee\uff0c\u5e76\u6309\u201c\u786e\u8ba4\u8f93\u5165\u5185\u5bb9\u201d\u6309\u94ae\u3002<\/p>\n<div class=\"u-contact_form\">\n[mwform_formkey key=&#8221;3153&#8243;]\n\t\t\t\t<\/div>\n<style>\n    #affiliatenumber,\n    .p-country-name,\n    .other {\n        display: none;\n    }<\/p>\n<p>    .u-contact_form ._intxt input[type=\"text\"],\n    .u-contact_form ._intxt input[type=\"tel\"],\n    .u-contact_form ._intxt input[type=\"email\"],\n    .u-contact_form ._intxt select {\n        width: 80%;\n    }<\/p>\n<p>    .c-min {\n        font-size: 0.7em;\n    }<\/p>\n<p>    .c-big {\n        font-size: 1.3em;\n        margin: auto 20%;\n    }<\/p>\n<p>    .c-bg {\n        background: #F8FDFF;\n        padding: 20px;\n    }<\/p>\n<p>    .c-bg._type2 {\n        background: #F5FAFD;\n    }<\/p>\n<p>    .c-bg_border {\n        border: 1px solid #2998C9;\n        border-radius: 10px;\n        padding: 20px;\n    }<\/p>\n<p>    .c-link {\n        color: #67B0DE;\n        text-decoration: underline;\n    }<\/p>\n<p>    .c-blue_title {\n        font-size: 1.3em;\n        font-weight: bold;\n        margin: 0 0 10px;\n        color: #2998C9;\n    }<\/p>\n<p>    .c-blue_title2 {\n        font-size: 1.3em;\n        font-weight: bold;\n        margin: 0 0 10px;\n        color: #1E22A1;\n    }<\/p>\n<p>    p.c-indent,\n    li.c-indent {\n        padding-left: 1em;\n        text-indent: -1em;\n    }<\/p>\n<p>    ul.c-indent li {\n        padding-left: 1em;\n        text-indent: -1em;\n    }<\/p>\n<p>    ul.c-indent li+li {\n        margin-top: 5px;\n    }<\/p>\n<p>    [data-js-tel] a {\n        color: inherit;\n        text-decoration: underline;\n    }<\/p>\n<p>    .u-contact_status {\n        width: 160px;\n        margin: 0 auto 50px;\n        display: -webkit-box;\n        display: -webkit-flex;\n        display: -ms-flexbox;\n        display: flex;\n        -webkit-box-pack: justify;\n        -webkit-justify-content: space-between;\n        -ms-flex-pack: justify;\n        justify-content: space-between;\n        position: relative;\n    }<\/p>\n<p>    .u-contact_status span {\n        display: block;\n        text-align: center;\n        line-height: 1;\n    }<\/p>\n<p>    .u-contact_status .txt {\n        font-size: 0.15rem;\n        color: #ACACAC;\n        font-weight: bold;\n        padding: 0 0 10px;\n    }<\/p>\n<p>    .u-contact_status .maru {\n        font-size: 0.15rem;\n        color: #E5E5E5;\n    }<\/p>\n<p>    .u-contact_status .active .txt {\n        color: #000;\n    }<\/p>\n<p>    .u-contact_status .active .maru {\n        color: #2998C9;\n    }<\/p>\n<p>    .u-contact_status:after {\n        content: \"\";\n        width: 144px;\n        height: 1px;\n        background: #E5E5E5;\n        position: absolute;\n        bottom: 10px;\n        left: 8px;\n        z-index: -1;\n    }<\/p>\n<p>    .u-contact_form {\n        margin-top: 30px;\n        margin: 30px 20% 0;\n    }<\/p>\n<p>    .u-contact_form h2 {\n        background: none;\n        font-size: 0.25rem;\n        font-weight: bold;\n        border: none;\n        margin-bottom: 10px;\n        color: #000;\n    }<\/p>\n<p>    .u-contact_form table+h2 {\n        margin-top: 50px;\n    }<\/p>\n<p>    .u-contact_form dl {\n        border-top: 1px solid #E2E2E2;\n    }<\/p>\n<p>    .u-contact_form dl+dl {\n        border-top: none;\n    }<\/p>\n<p>    .u-contact_form dl dt {\n        font-weight: bold;\n        margin: 0 0 10px;\n        padding: 20px 10px 10px;\n    }<\/p>\n<p>    .u-contact_form dl dd {\n        padding: 0 10px 20px;\n        border-bottom: 1px solid #E2E2E2;\n    }<\/p>\n<p>    .u-contact_form table {\n        border-top: 1px solid #E2E2E2;\n        width: 100%;\n    }<\/p>\n<p>    .u-contact_form table tr {\n        border-bottom: 1px solid #E2E2E2;\n    }<\/p>\n<p>    .u-contact_form table td {\n        text-align: left;\n        padding: 30px 10px;\n        vertical-align: top;\n    }<\/p>\n<p>    .u-contact_form table th {\n        vertical-align: top;\n        text-align: left;\n        position: relative;\n    }<\/p>\n<p>    .u-contact_form table th .his {\n        position: absolute;\n        top: 35px;\n        right: 10px;\n    }<\/p>\n<p>    .u-contact_form table th .nini {\n        position: absolute;\n        top: 35px;\n        right: 10px;\n    }<\/p>\n<p>    .u-contact_form .his {\n        background: #D50000;\n        color: #fff;\n        padding: 3px 5px;\n        line-height: 1;\n        border-radius: 2px;\n        font-size: 0.125rem;\n        text-align: center;\n        display: inline-block;\n    }<\/p>\n<p>    .u-contact_form .nini {\n        background: #ACACAC;\n        color: #fff;\n        padding: 3px 5px;\n        line-height: 1;\n        border-radius: 2px;\n        font-size: 0.125rem;\n        text-align: center;\n        display: inline-block;\n    }<\/p>\n<p>    .u-contact_form input[type=\"text\"],\n    .u-contact_form input[type=\"tel\"],\n    .u-contact_form input[type=\"email\"],\n    .u-contact_form select,\n    .u-contact_form textarea {\n        width: 100%;\n        -webkit-box-sizing: border-box;\n        box-sizing: border-box;\n        padding: 8px;\n        font-size: 0.1rem;\n        border: 1px solid #B9B9B9;\n        border-radius: 4px;\n        -webkit-appearance: none;\n        -moz-appearance: none;\n        appearance: none;\n    }<\/p>\n<p>    .u-contact_form button {\n        -webkit-appearance: none;\n        -moz-appearance: none;\n        appearance: none;\n    }<\/p>\n<p>    .u-contact_form .datepicker {\n        padding-right: 30px !important;\n    }<\/p>\n<p>    .u-contact_form textarea {\n        height: 150px;\n        resize: vertical;\n    }<\/p>\n<p>    .u-contact_form select {\n        height: 34px;\n        padding-right: 20px;\n    }<\/p>\n<p>    .u-contact_form input[type=\"radio\"] {\n        margin: 0px 5px 0 0 !important;\n        position: relative;\n        top: -1px;\n    }<\/p>\n<p>    .u-contact_form .radio_wrap._col2 label {\n        display: inline-block;\n        margin-right: 30px;\n    }<\/p>\n<p>    .u-contact_form .radio_wrap._col1 label {\n        display: block;\n    }<\/p>\n<p>    .u-contact_form label {\n        cursor: pointer;\n    }<\/p>\n<p>    .u-contact_form .hosoku {\n        margin: 3% 0 0 0;\n        display: block;\n        color: #838383;\n        font-size: 0.125rem;\n        font-weight: 500;\n    }<\/p>\n<p>    .u-contact_form .hosoku2 {\n        padding: 2% 0;\n        display: block;\n        color: #838383;\n        font-size: 0.125rem;\n        font-weight: 500;\n    }<\/p>\n<p>    .u-contact_form .hosoku3 {\n        padding: 10px 0 0;\n        display: block;\n        color: #000000;\n        font-size: 0.15rem;\n        font-weight: bold;\n    }<\/p>\n<p>    .u-contact_form .hosoku4 {\n        margin: 0.5% 2% 0;\n        padding: 0;\n        display: block;\n        color: #000000;\n        font-size: 0.15rem;\n        font-weight: 500;\n        line-height: 1.5;\n    }<\/p>\n<p>    .u-contact_form .hosoku5 {\n        display: block;\n        color: #000000;\n        font-size: 0.125rem;\n        font-weight: 500;\n    }<\/p>\n<p>    .radio_wrap._col2 {\n        margin: 1.5% 0 2% 0;\n    }<\/p>\n<p>    .u-contact_form .w70 {\n        width: 80%;\n    }<\/p>\n<p>    .u-contact_form .w60 {\n        width: 59%;\n    }<\/p>\n<p>    .u-contact_form .w50 {\n        width: 49%;\n    }<\/p>\n<p>    .u-contact_form .w40 {\n        width: 40%;\n    }<\/p>\n<p>    .u-contact_form .w30 {\n        width: 30%;\n        margin: 0 0 2% 0;\n    }<\/p>\n<p>    .u-contact_form .w120px {\n        width: 120px !important;\n    }<\/p>\n<p>    .u-contact_form .w20 {\n        width: 20%;\n    }<\/p>\n<p>    .u-contact_form .rank_list li {\n        overflow: hidden;\n        margin: 5% 0;\n    }<\/p>\n<p>    .u-contact_form .w20._intxt input[type=\"text\"],\n    .u-contact_form .w20._intxt input[type=\"tel\"],\n    .u-contact_form .w20._intxt input[type=\"email\"],\n    .u-contact_form .w20._intxt select {\n        width: 80%;\n    }<\/p>\n<p>    .u-contact_form .radio_wrap._col1 label {\n        display: block;\n        margin: 2% 0;\n        line-height: 1;\n    }<\/p>\n<p>    .u-contact_form ._intxt {\n        display: -webkit-box;\n        display: -webkit-flex;\n        display: -ms-flexbox;\n        display: flex;\n        -webkit-box-pack: justify;\n        -webkit-justify-content: space-between;\n        -ms-flex-pack: justify;\n        justify-content: space-between;\n        -webkit-box-align: center;\n        -webkit-align-items: center;\n        -ms-flex-align: center;\n        align-items: center;\n    }<\/p>\n<p>    .u-contact_form ._intxt input[type=\"text\"],\n    .u-contact_form ._intxt input[type=\"tel\"],\n    .u-contact_form ._intxt input[type=\"email\"],\n    .u-contact_form ._intxt select {\n        width: 80%;\n    }<\/p>\n<p>    .u-contact_form ._intxt2 {\n        display: -webkit-box;\n        display: -webkit-flex;\n        display: -ms-flexbox;\n        display: flex;\n        -webkit-box-pack: justify;\n        -webkit-justify-content: space-between;\n        -ms-flex-pack: justify;\n        justify-content: start;\n        -webkit-box-align: center;\n        -webkit-align-items: center;\n        -ms-flex-align: center;\n        align-items: center;\n    }<\/p>\n<p>    .u-contact_form ._intxt2 input[type=\"text\"],\n    .u-contact_form ._intxt2 input[type=\"tel\"],\n    .u-contact_form ._intxt2 input[type=\"email\"],\n    .u-contact_form ._intxt2 select {\n        width: 80%;\n    }<\/p>\n<p>    .u-contact_form .flex2 {\n        display: -webkit-box;\n        display: -webkit-flex;\n        display: -ms-flexbox;\n        display: flex;\n        -webkit-box-align: center;\n        -webkit-align-items: center;\n        -ms-flex-align: center;\n        align-items: center;\n    }<\/p>\n<p>    .u-contact_form .doui_txt {\n        display: block;\n        color: #005F91;\n        padding: 5px 0 20px 20px;\n        font-size: 0.15rem;\n        line-height: 1.4;\n    }<\/p>\n<p>    .u-contact_form .doui_policy {\n        background: #F5F5F5;\n        border-radius: 5px;\n        padding: 20px;\n        height: 140px;\n        overflow-y: scroll;\n        margin: 8px 0;\n    }<\/p>\n<p>    .u-contact_form .doui_policy p {\n        margin-bottom: 1em;\n    }<\/p>\n<p>    .u-contact_form .doui_policy p.tit {\n        margin-bottom: 10px;\n        font-weight: bold;\n    }<\/p>\n<p>    .u-contact_form .doui_policy p.tit_wrap {\n        font-size: 1.125rem;\n        font-weight: bold;\n    }<\/p>\n<p>    .u-contact_form .doui_policy ul {\n        margin-bottom: 1.5em;\n    }<\/p>\n<p>    .u-contact_form .doui_policy ul li {\n        text-indent: -0.8em;\n        padding-left: 0.8em;\n        line-height: 1.4;\n    }<\/p>\n<p>    .u-contact_form .doui_policy ul li+li {\n        margin-top: 5px;\n    }<\/p>\n<p>    .u-contact_form .doui_policy ul li>ul {\n        margin-top: 10px;\n    }<\/p>\n<p>    .u-contact_form .doui_policy ul li>ul li {\n        text-indent: -1em;\n        padding-left: 1em;\n    }<\/p>\n<p>    .list_radio {\n        margin-left: 5%;\n    }<\/p>\n<p>    .u-contact_form .rank_list li {\n        display: flex;\n        width: 100%;\n    }<\/p>\n<p>    .u-contact_form .rank_list li+li {\n        margin-top: 5px;\n    }<\/p>\n<p>    .u-contact_form .rank_list li .list_radio {\n        display: flex;\n    }<\/p>\n<p>    .u-contact_form .rank_list li .list_radio label+label {\n        margin-left: 20px;\n    }<\/p>\n<p>    @media (max-width: 768px) {\n        .u-contact_form .rank_list li {\n            display: block;\n            margin: 10% 0;\n        }\n        .c-big{\n            margin: auto 5%;\n        }\n        .u-contact_form{\n            margin: 30px 5% 0\n        }\n        .u-contact_form .rank_list li .list_radio {\n            margin: 5% 0;\n        }\n    }<\/p>\n<p>    .u-contact_form .timetable th,\n    .u-contact_form .timetable td {\n        padding: 5px;\n        width: auto;\n    }<\/p>\n<p>    .u-contact_form .timetable .wth {\n        width: 120px;\n    }<\/p>\n<p>    .u-contact_form .timetable thead th {\n        text-align: center;\n        font-weight: bold;\n        background: #F8FDFF;\n    }<\/p>\n<p>    .u-contact_form .timetable tbody th {\n        text-align: left;\n    }<\/p>\n<p>    .u-contact_form .timetable tbody td {\n        vertical-align: middle;\n        text-align: center;\n    }<\/p>\n<p>    .u-contact_thanks {\n        text-align: center;\n    }<\/p>\n<p>    .u-contact_thanks p+p {\n        margin-top: 10px;\n    }<\/p>\n<p>    .submit_wrap {\n        text-align: center;\n        padding: 30px 0;\n        max-width: 500px;\n        margin: 0 auto;\n    }<\/p>\n<p>    .submit_wrap input,\n    .submit_wrap .backbtn {\n        cursor: pointer;\n        -webkit-box-sizing: border-box;\n        box-sizing: border-box;\n        min-width: 250px;\n        display: inline-block;\n        border-radius: 5px;\n        color: #fff;\n        padding: 16px 58px;\n        letter-spacing: 1px;\n        -webkit-transition: all 0.5s;\n        transition: all 0.5s;\n        border: 2px solid #67B0DE;\n        text-decoration: none !important;\n        \/* font-size: 0.1rem; *\/\n        font-size: 16px;\n    }<\/p>\n<p>    .submit_wrap input:hover,\n    .submit_wrap .backbtn:hover {\n        opacity: 0.7;\n    }<\/p>\n<p>    .mw_wp_form_confirm .hosoku,\n    .mw_wp_form_confirm .his,\n    .mw_wp_form_confirm .name,\n    .mw_wp_form_confirm .doui_txt,\n    .mw_wp_form_confirm .title,\n    .mw_wp_form_confirm .doui_policy,\n    .mw_wp_form_confirm .c-link,\n    .mw_wp_form_confirm .hosoku2,\n    .mw_wp_form_confirm .nini,\n    .mw_wp_form_confirm .hosoku3,\n    .mw_wp_form_confirm .hosoku4,\n    .mw_wp_form_confirm .hosoku5 {\n        display: none !important;\n    }<\/p>\n<p>    .mw_wp_form_confirm .submit_wrap input+input {\n        margin-top: 10px;\n        min-width: 250px;\n        \/*color: #818181;*\/\n        color: white;\n        padding: 16px 58px;\n        border: none;\n    }<\/p>\n<p>    .u-contact_pickup {\n        max-width: 60%;\n        margin: 5% 23%;\n        border-radius: 10px;\n        border: 1px solid #2998C9;\n        padding: 2% 2%;\n        font-weight: bold;\n        -webkit-box-sizing: border-box;\n        box-sizing: border-box;\n        background: url(https:\/\/new.mybc.jp\/cn\/wp-content\/uploads\/2024\/01\/98acda0\u2026.png) no-repeat center left 15px\/58spx auto;\n        font-size: 0.23rem;\n    }<\/p>\n<p>    @media (max-width: 768px) {\n        .u-contact_pickup {\n            max-width: 100%;\n            font-size: 0.15rem;\n            margin: 5% 5%;\n        }\n    }<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>forcorporations ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>forindividuals ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>medicalrecords ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>outpatientconsulation ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>policy ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>shibuya ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>sitemap ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>index<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>trabelers<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    \/* ----------------------------------------<\/p>\n<p>zo-skin-health ... child<\/p>\n<p>----------------------------------------- *\/<\/p>\n<p>    @media (max-width: 768px) {<\/p>\n<p>        .u-contact_status {\n            margin-bottom: 40px;\n        }<\/p>\n<p>        .u-contact_form dl dt {\n            padding-left: 0;\n            padding-right: 0;\n        }<\/p>\n<p>        .u-contact_form dl dd {\n            padding-left: 0;\n            padding-right: 0;\n        }<\/p>\n<p>        .u-contact_form table th .his {\n            top: 20px;\n        }<\/p>\n<p>        .u-contact_form table th .nini {\n            top: 20px;\n        }<\/p>\n<p>        .u-contact_form table td,<\/p>\n<p>        .u-contact_form table th {\n            display: block;\n            width: 100%;\n            -webkit-box-sizing: border-box;\n            box-sizing: border-box;\n        }<\/p>\n<p>        .u-contact_form table td {\n            padding: 0 0 20px;\n            font-size: 0.15rem;\n        }<\/p>\n<p>        .u-contact_form table th {\n            padding: 20px 50px 10px 0;\n            font-size: 0.15rem;\n            font-weight: bold;\n        }<\/p>\n<p>        .u-contact_form .radio_wrap._col1 label+label {\n            margin-top: 5px;\n        }<\/p>\n<p>        .u-contact_form .w70 {\n            width: 100%;\n        }<\/p>\n<p>        .u-contact_form .w70+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .w60 {\n            width: 100%;\n        }<\/p>\n<p>        .u-contact_form .w60+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .w50 {\n            width: 250px;\n        }<\/p>\n<p>        .u-contact_form .w50+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .w40 {\n            width: 200px;\n        }<\/p>\n<p>        .u-contact_form .w40+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .w30 {\n            width: 150px;\n        }<\/p>\n<p>        .u-contact_form .w30+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .w30+.w30 {\n            margin-top: 0;\n        }<\/p>\n<p>        .u-contact_form .w20 {\n            width: 100px;\n        }<\/p>\n<p>        .u-contact_form .w20+div {\n            margin-top: 15px;\n        }<\/p>\n<p>        .u-contact_form .radio_flex .txt {\n            display: block;\n        }<\/p>\n<p>        .u-contact_form .radio_flex label {\n            display: block;\n        }<\/p>\n<p>        .u-contact_form .doui_policy {\n            height: 250px;\n        }<\/p>\n<p>        .u-contact_form .doui_policy p.tit_wrap {\n            font-size: 0.1rem;\n        }<\/p>\n<p>        .u-contact_form .timetable th,<\/p>\n<p>        .u-contact_form .timetable td {\n            display: table-cell;\n        }<\/p>\n<p>        .submit_wrap input,<\/p>\n<p>        .submit_wrap .backbtn {\n            font-size: 0.15rem;\n        }<\/p>\n<p>        .u-contact_pickup {\n            font-size: 0.15rem;\n            padding: 25px 15px 15px;\n            background: url(..\/img\/contact\/bg01@2x.png) no-repeat top 13px center\/30px auto;\n        }<\/p>\n<p>    }<\/p>\n<p>    @media not all and (max-width: 768px) {<\/p>\n<p>        .u-contact_form table th {\n            width: 280px;\n            padding: 30px 40px 30px 10px;\n        }<\/p>\n<p>        .u-contact_form .flex {\n            display: -webkit-box;\n            display: -webkit-flex;\n            display: -ms-flexbox;\n            display: flex;\n            -webkit-box-pack: justify;\n            -webkit-justify-content: space-between;\n            -ms-flex-pack: justify;\n            justify-content: space-between;\n        }<\/p>\n<p>        .u-contact_form .radio_flex {\n            display: -webkit-box;\n            display: -webkit-flex;\n            display: -ms-flexbox;\n            display: flex;\n            -webkit-box-pack: justify;\n            -webkit-justify-content: space-between;\n            -ms-flex-pack: justify;\n            justify-content: space-between;\n        }<\/p>\n<p>    }<\/p>\n<p>    @media (max-width: 768px) and (max-width: 768px) {<\/p>\n<p>        .u-contact_form .radio_flex label {\n            margin-left: 10px;\n        }<\/p>\n<p>        .u-contact_form .radio_flex label+label {\n            margin-top: 5px;\n        }<\/p>\n<p>    }<\/p>\n<p>    .medical__fade {\n        margin-top: 15px;\n    }<\/p>\n<p>    .submit_wrap input {\n        background-color: #278CC3;\n    }<\/p>\n<p>    \/* !\n * Datepicker for Bootstrap v1.9.0 (https:\/\/github.com\/uxsolutions\/bootstrap-datepicker)\n *\n * Licensed under the Apache License v2.0 (http:\/\/www.apache.org\/licenses\/LICENSE-2.0)\n *\/\n    .datepicker {\n        padding: 4px;\n        -webkit-border-radius: 4px;\n        -moz-border-radius: 4px;\n        border-radius: 4px;\n        direction: ltr\n    }<\/p>\n<p>    .datepicker-inline {\n        width: 220px\n    }<\/p>\n<p>    .datepicker-rtl {\n        direction: rtl\n    }<\/p>\n<p>    .datepicker-rtl.dropdown-menu {\n        left: auto\n    }<\/p>\n<p>    .datepicker-rtl table tr td span {\n        float: right\n    }<\/p>\n<p>    .datepicker-dropdown {\n        top: 0;\n        left: 0\n    }<\/p>\n<p>    .datepicker-dropdown:before {\n        content: '';\n        display: inline-block;\n        border-left: 7px solid transparent;\n        border-right: 7px solid transparent;\n        border-bottom: 7px solid #999;\n        border-top: 0;\n        border-bottom-color: rgba(0, 0, 0, .2);\n        position: absolute\n    }<\/p>\n<p>    .datepicker-dropdown:after {\n        content: '';\n        display: inline-block;\n        border-left: 6px solid transparent;\n        border-right: 6px solid transparent;\n        border-bottom: 6px solid #fff;\n        border-top: 0;\n        position: absolute\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-left:before {\n        left: 6px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-left:after {\n        left: 7px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-right:before {\n        right: 6px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-right:after {\n        right: 7px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-bottom:before {\n        top: -7px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-bottom:after {\n        top: -6px\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-top:before {\n        bottom: -7px;\n        border-bottom: 0;\n        border-top: 7px solid #999\n    }<\/p>\n<p>    .datepicker-dropdown.datepicker-orient-top:after {\n        bottom: -6px;\n        border-bottom: 0;\n        border-top: 6px solid #fff\n    }<\/p>\n<p>    .datepicker table {\n        margin: 0;\n        -webkit-touch-callout: none;\n        -webkit-user-select: none;\n        -khtml-user-select: none;\n        -moz-user-select: none;\n        -ms-user-select: none;\n        user-select: none\n    }<\/p>\n<p>    .datepicker td,\n    .datepicker th {\n        text-align: center;\n        width: 20px;\n        height: 20px;\n        -webkit-border-radius: 4px;\n        -moz-border-radius: 4px;\n        border-radius: 4px;\n        border: none\n    }<\/p>\n<p>    .table-striped .datepicker table tr td,\n    .table-striped .datepicker table tr th {\n        background-color: transparent\n    }<\/p>\n<p>    .datepicker table tr td.day.focused,\n    .datepicker table tr td.day:hover {\n        background: #eee;\n        cursor: pointer\n    }<\/p>\n<p>    .datepicker table tr td.new,\n    .datepicker table tr td.old {\n        color: #999\n    }<\/p>\n<p>    .datepicker table tr td.disabled,\n    .datepicker table tr td.disabled:hover {\n        background: 0 0;\n        color: #999;\n        cursor: default\n    }<\/p>\n<p>    .datepicker table tr td.highlighted {\n        background: #d9edf7;\n        border-radius: 0\n    }<\/p>\n<p>    .datepicker table tr td.today,\n    .datepicker table tr td.today.disabled,\n    .datepicker table tr td.today.disabled:hover,\n    .datepicker table tr td.today:hover {\n        background-color: #fde19a;\n        background-image: -moz-linear-gradient(to bottom, #fdd49a, #fdf59a);\n        background-image: -ms-linear-gradient(to bottom, #fdd49a, #fdf59a);\n        background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#fdd49a), to(#fdf59a));\n        background-image: -webkit-linear-gradient(to bottom, #fdd49a, #fdf59a);\n        background-image: -o-linear-gradient(to bottom, #fdd49a, #fdf59a);\n        background-image: linear-gradient(to bottom, #fdd49a, #fdf59a);\n        background-repeat: repeat-x;\n        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#fdd49a', endColorstr='#fdf59a', GradientType=0);\n        border-color: #fdf59a #fdf59a #fbed50;\n        border-color: rgba(0, 0, 0, .1) rgba(0, 0, 0, .1) rgba(0, 0, 0, .25);\n        filter: progid:DXImageTransform.Microsoft.gradient(enabled=false);\n        color: #000\n    }<\/p>\n<p>    .datepicker table tr td.today.active,\n    .datepicker table tr td.today.disabled,\n    .datepicker table tr td.today.disabled.active,\n    .datepicker table tr td.today.disabled.disabled,\n    .datepicker table tr td.today.disabled:active,\n    .datepicker table tr td.today.disabled:hover,\n    .datepicker table tr td.today.disabled:hover.active,\n    .datepicker table tr td.today.disabled:hover.disabled,\n    .datepicker table tr td.today.disabled:hover:active,\n    .datepicker table tr td.today.disabled:hover:hover,\n    .datepicker table tr td.today.disabled:hover[disabled],\n    .datepicker table tr td.today.disabled[disabled],\n    .datepicker table tr td.today:active,\n    .datepicker table tr td.today:hover,\n    .datepicker table tr td.today:hover.active,\n    .datepicker table tr td.today:hover.disabled,\n    .datepicker table tr td.today:hover:active,\n    .datepicker table tr td.today:hover:hover,\n    .datepicker table tr td.today:hover[disabled],\n    .datepicker table tr td.today[disabled] {\n        background-color: #fdf59a\n    }<\/p>\n<p>    .datepicker table tr td.today.active,\n    .datepicker table tr td.today.disabled.active,\n    .datepicker table tr td.today.disabled:active,\n    .datepicker table tr td.today.disabled:hover.active,\n    .datepicker table tr td.today.disabled:hover:active,\n    .datepicker table tr td.today:active,\n    .datepicker table tr td.today:hover.active,\n    .datepicker table tr td.today:hover:active {\n        background-color: #fbf069\\9\n    }<\/p>\n<p>    .datepicker table tr td.today:hover:hover {\n        color: #000\n    }<\/p>\n<p>    .datepicker table tr td.today.active:hover {\n        color: #fff\n    }<\/p>\n<p>    .datepicker table tr td.range,\n    .datepicker table tr td.range.disabled,\n    .datepicker table tr td.range.disabled:hover,\n    .datepicker table tr td.range:hover {\n        background: #eee;\n        -webkit-border-radius: 0;\n        -moz-border-radius: 0;\n        border-radius: 0\n    }<\/p>\n<p>    .datepicker table tr td.range.today,\n    .datepicker table tr td.range.today.disabled,\n    .datepicker table tr td.range.today.disabled:hover,\n    .datepicker table tr td.range.today:hover {\n        background-color: #f3d17a;\n        background-image: -moz-linear-gradient(to bottom, #f3c17a, #f3e97a);\n        background-image: -ms-linear-gradient(to bottom, #f3c17a, #f3e97a);\n        background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#f3c17a), to(#f3e97a));\n        background-image: -webkit-linear-gradient(to bottom, #f3c17a, #f3e97a);\n        background-image: -o-linear-gradient(to bottom, #f3c17a, #f3e97a);\n        background-image: linear-gradient(to bottom, #f3c17a, #f3e97a);\n        background-repeat: repeat-x;\n        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#f3c17a', endColorstr='#f3e97a', GradientType=0);\n        border-color: #f3e97a #f3e97a #edde34;\n        border-color: rgba(0, 0, 0, .1) rgba(0, 0, 0, .1) rgba(0, 0, 0, .25);\n        filter: progid:DXImageTransform.Microsoft.gradient(enabled=false);\n        -webkit-border-radius: 0;\n        -moz-border-radius: 0;\n        border-radius: 0\n    }<\/p>\n<p>    .datepicker table tr td.range.today.active,\n    .datepicker table tr td.range.today.disabled,\n    .datepicker table tr td.range.today.disabled.active,\n    .datepicker table tr td.range.today.disabled.disabled,\n    .datepicker table tr td.range.today.disabled:active,\n    .datepicker table tr td.range.today.disabled:hover,\n    .datepicker table tr td.range.today.disabled:hover.active,\n    .datepicker table tr td.range.today.disabled:hover.disabled,\n    .datepicker table tr td.range.today.disabled:hover:active,\n    .datepicker table tr td.range.today.disabled:hover:hover,\n    .datepicker table tr td.range.today.disabled:hover[disabled],\n    .datepicker table tr td.range.today.disabled[disabled],\n    .datepicker table tr td.range.today:active,\n    .datepicker table tr td.range.today:hover,\n    .datepicker table tr td.range.today:hover.active,\n    .datepicker table tr td.range.today:hover.disabled,\n    .datepicker table tr td.range.today:hover:active,\n    .datepicker table tr td.range.today:hover:hover,\n    .datepicker table tr td.range.today:hover[disabled],\n    .datepicker table tr td.range.today[disabled] {\n        background-color: #f3e97a\n    }<\/p>\n<p>    .datepicker table tr td.range.today.active,\n    .datepicker table tr td.range.today.disabled.active,\n    .datepicker table tr td.range.today.disabled:active,\n    .datepicker table tr td.range.today.disabled:hover.active,\n    .datepicker table tr td.range.today.disabled:hover:active,\n    .datepicker table tr td.range.today:active,\n    .datepicker table tr td.range.today:hover.active,\n    .datepicker table tr td.range.today:hover:active {\n        background-color: #efe24b\\9\n    }<\/p>\n<p>    .datepicker table tr td.selected,\n    .datepicker table tr td.selected.disabled,\n    .datepicker table tr td.selected.disabled:hover,\n    .datepicker table tr td.selected:hover {\n        background-color: #9e9e9e;\n        background-image: -moz-linear-gradient(to bottom, #b3b3b3, grey);\n        background-image: -ms-linear-gradient(to bottom, #b3b3b3, grey);\n        background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#b3b3b3), to(grey));\n        background-image: -webkit-linear-gradient(to bottom, #b3b3b3, grey);\n        background-image: -o-linear-gradient(to bottom, #b3b3b3, grey);\n        background-image: linear-gradient(to bottom, #b3b3b3, grey);\n        background-repeat: repeat-x;\n        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#b3b3b3', endColorstr='#808080', GradientType=0);\n        border-color: grey grey #595959;\n        border-color: rgba(0, 0, 0, .1) rgba(0, 0, 0, .1) rgba(0, 0, 0, .25);\n        filter: progid:DXImageTransform.Microsoft.gradient(enabled=false);\n        color: #fff;\n        text-shadow: 0 -1px 0 rgba(0, 0, 0, .25)\n    }<\/p>\n<p>    .datepicker table tr td.selected.active,\n    .datepicker table tr td.selected.disabled,\n    .datepicker table tr td.selected.disabled.active,\n    .datepicker table tr td.selected.disabled.disabled,\n    .datepicker table tr td.selected.disabled:active,\n    .datepicker table tr td.selected.disabled:hover,\n    .datepicker table tr td.selected.disabled:hover.active,\n    .datepicker table tr td.selected.disabled:hover.disabled,\n    .datepicker table tr td.selected.disabled:hover:active,\n    .datepicker table tr td.selected.disabled:hover:hover,\n    .datepicker table tr td.selected.disabled:hover[disabled],\n    .datepicker table tr td.selected.disabled[disabled],\n    .datepicker table tr td.selected:active,\n    .datepicker table tr td.selected:hover,\n    .datepicker table tr td.selected:hover.active,\n    .datepicker table tr td.selected:hover.disabled,\n    .datepicker table tr td.selected:hover:active,\n    .datepicker table tr td.selected:hover:hover,\n    .datepicker table tr td.selected:hover[disabled],\n    .datepicker table tr td.selected[disabled] {\n        background-color: grey\n    }<\/p>\n<p>    .datepicker table tr td.selected.active,\n    .datepicker table tr td.selected.disabled.active,\n    .datepicker table tr td.selected.disabled:active,\n    .datepicker table tr td.selected.disabled:hover.active,\n    .datepicker table tr td.selected.disabled:hover:active,\n    .datepicker table tr td.selected:active,\n    .datepicker table tr td.selected:hover.active,\n    .datepicker table tr td.selected:hover:active {\n        background-color: #666\\9\n    }<\/p>\n<p>    .datepicker table tr td.active,\n    .datepicker table tr td.active.disabled,\n    .datepicker table tr td.active.disabled:hover,\n    .datepicker table tr td.active:hover {\n        background-color: #006dcc;\n        background-image: -moz-linear-gradient(to bottom, #08c, #04c);\n        background-image: -ms-linear-gradient(to bottom, #08c, #04c);\n        background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#08c), to(#04c));\n        background-image: -webkit-linear-gradient(to bottom, #08c, #04c);\n        background-image: -o-linear-gradient(to bottom, #08c, #04c);\n        background-image: linear-gradient(to bottom, #08c, #04c);\n        background-repeat: repeat-x;\n        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#08c', endColorstr='#0044cc', GradientType=0);\n        border-color: #04c #04c #002a80;\n        border-color: rgba(0, 0, 0, .1) rgba(0, 0, 0, .1) rgba(0, 0, 0, .25);\n        filter: progid:DXImageTransform.Microsoft.gradient(enabled=false);\n        color: #fff;\n        text-shadow: 0 -1px 0 rgba(0, 0, 0, .25)\n    }<\/p>\n<p>    .datepicker table tr td.active.active,\n    .datepicker table tr td.active.disabled,\n    .datepicker table tr td.active.disabled.active,\n    .datepicker table tr td.active.disabled.disabled,\n    .datepicker table tr td.active.disabled:active,\n    .datepicker table tr td.active.disabled:hover,\n    .datepicker table tr td.active.disabled:hover.active,\n    .datepicker table tr td.active.disabled:hover.disabled,\n    .datepicker table tr td.active.disabled:hover:active,\n    .datepicker table tr td.active.disabled:hover:hover,\n    .datepicker table tr td.active.disabled:hover[disabled],\n    .datepicker table tr td.active.disabled[disabled],\n    .datepicker table tr td.active:active,\n    .datepicker table tr td.active:hover,\n    .datepicker table tr td.active:hover.active,\n    .datepicker table tr td.active:hover.disabled,\n    .datepicker table tr td.active:hover:active,\n    .datepicker table tr td.active:hover:hover,\n    .datepicker table tr td.active:hover[disabled],\n    .datepicker table tr td.active[disabled] {\n        background-color: #04c\n    }<\/p>\n<p>    .datepicker table tr td.active.active,\n    .datepicker table tr td.active.disabled.active,\n    .datepicker table tr td.active.disabled:active,\n    .datepicker table tr td.active.disabled:hover.active,\n    .datepicker table tr td.active.disabled:hover:active,\n    .datepicker table tr td.active:active,\n    .datepicker table tr td.active:hover.active,\n    .datepicker table tr td.active:hover:active {\n        background-color: #039\\9\n    }<\/p>\n<p>    .datepicker table tr td span {\n        display: block;\n        width: 23%;\n        height: 54px;\n        line-height: 54px;\n        float: left;\n        margin: 1%;\n        cursor: pointer;\n        -webkit-border-radius: 4px;\n        -moz-border-radius: 4px;\n        border-radius: 4px\n    }<\/p>\n<p>    .datepicker table tr td span.focused,\n    .datepicker table tr td span:hover {\n        background: #eee\n    }<\/p>\n<p>    .datepicker table tr td span.disabled,\n    .datepicker table tr td span.disabled:hover {\n        background: 0 0;\n        color: #999;\n        cursor: default\n    }<\/p>\n<p>    .datepicker table tr td span.active,\n    .datepicker table tr td span.active.disabled,\n    .datepicker table tr td span.active.disabled:hover,\n    .datepicker table tr td span.active:hover {\n        background-color: #006dcc;\n        background-image: -moz-linear-gradient(to bottom, #08c, #04c);\n        background-image: -ms-linear-gradient(to bottom, #08c, #04c);\n        background-image: -webkit-gradient(linear, 0 0, 0 100%, from(#08c), to(#04c));\n        background-image: -webkit-linear-gradient(to bottom, #08c, #04c);\n        background-image: -o-linear-gradient(to bottom, #08c, #04c);\n        background-image: linear-gradient(to bottom, #08c, #04c);\n        background-repeat: repeat-x;\n        filter: progid:DXImageTransform.Microsoft.gradient(startColorstr='#08c', endColorstr='#0044cc', GradientType=0);\n        border-color: #04c #04c #002a80;\n        border-color: rgba(0, 0, 0, .1) rgba(0, 0, 0, .1) rgba(0, 0, 0, .25);\n        filter: progid:DXImageTransform.Microsoft.gradient(enabled=false);\n        color: #fff;\n        text-shadow: 0 -1px 0 rgba(0, 0, 0, .25)\n    }<\/p>\n<p>    .datepicker table tr td span.active.active,\n    .datepicker table tr td span.active.disabled,\n    .datepicker table tr td span.active.disabled.active,\n    .datepicker table tr td span.active.disabled.disabled,\n    .datepicker table tr td span.active.disabled:active,\n    .datepicker table tr td span.active.disabled:hover,\n    .datepicker table tr td span.active.disabled:hover.active,\n    .datepicker table tr td span.active.disabled:hover.disabled,\n    .datepicker table tr td span.active.disabled:hover:active,\n    .datepicker table tr td span.active.disabled:hover:hover,\n    .datepicker table tr td span.active.disabled:hover[disabled],\n    .datepicker table tr td span.active.disabled[disabled],\n    .datepicker table tr td span.active:active,\n    .datepicker table tr td span.active:hover,\n    .datepicker table tr td span.active:hover.active,\n    .datepicker table tr td span.active:hover.disabled,\n    .datepicker table tr td span.active:hover:active,\n    .datepicker table tr td span.active:hover:hover,\n    .datepicker table tr td span.active:hover[disabled],\n    .datepicker table tr td span.active[disabled] {\n        background-color: #04c\n    }<\/p>\n<p>    .datepicker table tr td span.active.active,\n    .datepicker table tr td span.active.disabled.active,\n    .datepicker table tr td span.active.disabled:active,\n    .datepicker table tr td span.active.disabled:hover.active,\n    .datepicker table tr td span.active.disabled:hover:active,\n    .datepicker table tr td span.active:active,\n    .datepicker table tr td span.active:hover.active,\n    .datepicker table tr td span.active:hover:active {\n        background-color: #039\\9\n    }<\/p>\n<p>    .datepicker table tr td span.new,\n    .datepicker table tr td span.old {\n        color: #999\n    }<\/p>\n<p>    .datepicker .datepicker-switch {\n        width: 145px\n    }<\/p>\n<p>    .datepicker .datepicker-switch,\n    .datepicker .next,\n    .datepicker .prev,\n    .datepicker tfoot tr th {\n        cursor: pointer\n    }<\/p>\n<p>    .datepicker .datepicker-switch:hover,\n    .datepicker .next:hover,\n    .datepicker .prev:hover,\n    .datepicker tfoot tr th:hover {\n        background: #eee\n    }<\/p>\n<p>    .datepicker .next.disabled,\n    .datepicker .prev.disabled {\n        visibility: hidden\n    }<\/p>\n<p>    .datepicker .cw {\n        font-size: 10px;\n        width: 12px;\n        padding: 0 2px 0 5px;\n        vertical-align: middle\n    }<\/p>\n<p>    .input-append.date .add-on,\n    .input-prepend.date .add-on {\n        cursor: pointer\n    }<\/p>\n<p>    .input-append.date .add-on i,\n    .input-prepend.date .add-on i {\n        margin-top: 3px\n    }<\/p>\n<p>    .input-daterange input {\n        text-align: center\n    }<\/p>\n<p>    .input-daterange input:first-child {\n        -webkit-border-radius: 3px 0 0 3px;\n        -moz-border-radius: 3px 0 0 3px;\n        border-radius: 3px 0 0 3px\n    }<\/p>\n<p>    .input-daterange input:last-child {\n        -webkit-border-radius: 0 3px 3px 0;\n        -moz-border-radius: 0 3px 3px 0;\n        border-radius: 0 3px 3px 0\n    }<\/p>\n<p>    .input-daterange .add-on {\n        display: inline-block;\n        width: 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