#request_appointment .element_label
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
}
#request_appointment .error_strings
{
    font-family:Verdana;
    font-size:10px;
    color:#660000;
    border-style:solid;
    border-width:0px;
    border-color:#000000;
}
#request_appointment .sfm_float_error_box
{
    position:absolute;
    z-index:999;
    cursor:default;
    font-family:Verdana;
    font-size:10px;
    color:#660000;
    background-color:#ffffff;
    border-style:solid;
    border-width:1px;
    border-color:#660000;
}
#request_appointment .sfm_float_box_td
{
    padding:3px;
    cursor:default;
    font-family:Verdana;
    font-size:10px;
    color:#660000;
    background-color:#ffffff;
}
#request_appointment .sfm_close_box
{
    font-family:Verdana;
    font-size:10px;
    font-weight:bold;
    color:#ffffff;
    background-color:#660000;
    border-width:0px;
    text-align:center;
}
#request_appointment .sfm_cr_box
{
    font-family:Verdana;
    font-size:10px;
    color:#888888;
    border-style:solid;
    border-width:0px;
    border-color:#660000;
}
#request_appointment .sfm_cr_box a
{
    color:#888888;
}
#request_appointment .sfm_textbox
{
    padding:2px;
}
#request_appointment .sfm_textarea
{
    padding:2px;
}
#request_appointment .sfm_form_label
{
    font-family:Arial;
    font-size:12px;
    color:#000000;
}
#request_appointment .sfm_image_in_form
{
    border:0;
}
#request_appointment .sfm_captcha
{
    border:0;
}
#request_appointment .sfm_datepicker_icon
{
    border:0;
}

#request_appointment #NewPatient_container
{
    position:absolute;
    left:175px;
    top:53px;
    width:130px;
    height:37px;
    z-index:12;
}
#request_appointment #TextBlock1_container
{
    position:absolute;
    left:38px;
    top:113px;
    width:111px;
    height:20px;
    z-index:1;
}
#request_appointment #TextBlock1
{
    position:absolute;
    left:68px;
    top:0px;
    text-align:right;
}
#request_appointment #Name_container
{
    position:absolute;
    left:157px;
    top:113px;
    z-index:2;
}
#request_appointment #Name
{
    float:left;
    width:193px;
    z-index:2;
}
#request_appointment #TextBlock2_container
{
    position:absolute;
    left:41px;
    top:149px;
    width:105px;
    height:20px;
    z-index:3;
}
#request_appointment #TextBlock2
{
    position:absolute;
    left:64px;
    top:0px;
    text-align:right;
}
#request_appointment #Email_container
{
    position:absolute;
    left:157px;
    top:148px;
    z-index:4;
}
#request_appointment #Email
{
    float:left;
    width:192px;
    z-index:4;
}
#request_appointment #Phone_container
{
    position:absolute;
    left:157px;
    top:182px;
    z-index:6;
}
#request_appointment #Phone
{
    float:left;
    width:193px;
    z-index:6;
}
#request_appointment #TextBlock3_container
{
    position:absolute;
    left:87px;
    top:185px;
    width:60px;
    height:20px;
    z-index:5;
}
#request_appointment #TextBlock3
{
    position:absolute;
    left:15px;
    top:0px;
    text-align:right;
}
#request_appointment #Date_container
{
    position:absolute;
    left:159px;
    top:229px;
    z-index:7;
}
#request_appointment #Date
{
    float:left;
    width:164px;
    z-index:7;
}
#request_appointment #Date_image_container
{
    position:absolute;
    left:173px;
    top:1px;
    width:20px;
    height:20px;
    z-index:7;
}
#request_appointment #TextBlock4_container
{
    position:absolute;
    left:54px;
    top:232px;
    width:90px;
    height:20px;
    z-index:8;
}
#request_appointment #TextBlock4
{
    position:absolute;
    left:4px;
    top:0px;
    text-align:right;
}
#request_appointment #TextBlock6_container
{
    position:absolute;
    left:74px;
    top:286px;
    width:69px;
    height:27px;
    z-index:9;
}
#request_appointment #TextBlock6
{
    position:absolute;
    left:-6px;
    top:-4px;
    text-align:right;
}
#request_appointment #Message_container
{
    position:absolute;
    left:160px;
    top:277px;
    z-index:10;
}
#request_appointment #Message
{
    float:left;
    width:179px;
    height:86px;
    z-index:10;
}
#request_appointment #Submit_container
{
    position:absolute;
    left:162px;
    top:409px;
    width:123px;
    height:27px;
    z-index:11;
}
#request_appointment #request_appointment_Submit_img
{
    width:127px;
    height:31px;
    border:none;
}