#pageContent { width: 895px; }

.par1 {
	font: bold 14px arial; 
	color: #8F8F8F; 
	margin: 10px 0;
}

.par2 {
	color: #333; 
	margin:0 0 20px 0;
}

.par3 {
	color: red; 
	margin:0 0 20px 0;
}

.reqapp-container {
	width: 891px;
	height: 425px;
	border: 0px;
	background: url(/html_patient/images/backReqApp.png);
	margin: auto;
}

.reqapp-container p {
	font: bold 13px arial;
	color: #27669c;
	padding: 35px 0px 20px 30px;
}

.reqapp-container-small {
	width: 891px;
	height: 197px;
	border: 0px;
	background: url(/html_patient/images/backReqApp-small.png);
	margin: auto;
}

.reqapp-container-small div {
	width: 100%;
	font: bold 14px arial;
	color: #27669c;
	text-align:center;
	padding: 35px 0px;
	margin: auto;
}

.reqapp-container-small div.survey {
	width: 100%;
	font: bold 12px arial;
	color: green;
	text-align:center;
	padding:0px;
	margin:auto;
}

form br { clear:both; }

span.reqfield {
	font: 14px arial;
	color: red;
}

div.lbl {
	float: left;
	width: 135px;
	line-height: 30px;
	border: 0px solid red;
	margin: 0 10px 0 0;
}

div.lbl2 {
	float: left;
	width: 230px;
	line-height: 30px;
	border: 0px solid red;
	margin: 0 5px 0 0;
}

div.inp {
	float: left;
	width: 210px;
	line-height: 30px;
	border: 0px solid green;
}

div.inpconf {
	float: left;
	width: 210px;
	line-height: 30px;
	font-weight: bold;
	color: #069;
	text-transform: uppercase;
	border:0px;
	border-bottom: 1px solid #fff;
}

span.lblday {
	font: 11px arial;
	padding-left: 2px;
}

.fields {
	width: 180px;
	height: 20px;
	margin: 0px;
	padding: 0px;
}

.fields2, fields2dd {
	width: 200px;
	height: 20px;
	margin: 0px;
	padding: 0px;
}
.fields2dd {
	width: 204px;	
}

.fieldsdd {
	height: 20px;
	margin: 0px;
	padding: 0px;
}

#verisign {
	float: left;
	padding: 0 0 0 30px; 
}

#notice {
	float: left;
	font: 14px arial;
	color: #27669c;
	padding: 25px 0px 10px 30px;
}