<html><head><meta name="color-scheme" content="light dark"></head><body><pre style="word-wrap: break-word; white-space: pre-wrap;">/* CSS Document */
/* line 3, style.scss */
input,
button,
select,
textarea {
  -webkit-appearance: none;
  -moz-appearance: none;
  appearance: none;
  background: transparent;
  border: none;
  border-radius: 0;
  font: inherit;
  outline: none; }

/* line 17, style.scss */
textarea {
  resize: vertical; }

/* line 21, style.scss */
input[type='checkbox'],
input[type='radio'] {
  display: none; }

/* line 26, style.scss */
input[type='submit'],
input[type='button'],
label,
button,
select {
  cursor: pointer; }

/* line 34, style.scss */
select::-ms-expand {
  display: none; }

/*
---------------------------------------------------------------*/
/* line 40, style.scss */
input,
button,
select,
textarea {
  font-size: 14px;
  background: #fff; }

/* line 48, style.scss */
input, textarea {
  border: 1px solid #999; }

/* line 57, style.scss */
.radio label {
  position: relative;
  padding-left: 25px;
  margin-right: 10px;
  display: inline-block; }

/* line 64, style.scss */
.radio label::before {
  content: "";
  display: block;
  position: absolute;
  top: 6px;
  left: 0;
  width: 15px;
  height: 15px;
  border: 1px solid #999;
  border-radius: 50%;
  background: #fff; }

/* line 77, style.scss */
.radio input:checked + label::after {
  content: "";
  display: block;
  position: absolute;
  top: 9px;
  left: 3px;
  width: 11px;
  height: 11px;
  background: #04287e;
  border-radius: 50%; }

/* line 88, style.scss */
.check label {
  position: relative;
  padding-left: 25px;
  margin-right: 10px;
  display: inline-block; }

/* line 95, style.scss */
.check label::before {
  content: "";
  display: block;
  position: absolute;
  top: 6px;
  left: 0;
  width: 15px;
  height: 15px;
  border: 1px solid #999;
  background: #fff; }

/* line 108, style.scss */
.check input:checked + label::after {
  -webkit-transform: translateY(-50%) rotate(-45deg);
  border-bottom: 2px solid #04287e;
  border-left: 2px solid #04287e;
  content: "";
  display: block;
  height: 7px;
  left: 2px;
  margin-top: -5px;
  position: absolute;
  top: 1.0em;
  transform: translateY(-50%) rotate(-45deg);
  transition: all 0.3s ease 0s;
  width: 14px; }

/* line 123, style.scss */
select {
  border: 1px solid #999;
  padding: 5px 30px 5px 5px;
  background: #fff; }

/* line 129, style.scss */
.select {
  position: relative; }
  /* line 131, style.scss */
  .select:after {
    display: block;
    position: absolute;
    content: '';
    width: 5px;
    height: 5px;
    border-bottom: 2px solid #999;
    border-right: 2px solid #999;
    transform: rotate(45deg);
    right: 10px;
    top: 0;
    bottom: 0;
    margin: auto;
    pointer-events: none; }

/* line 147, style.scss */
input {
  padding: 5px; }

/* line 150, style.scss */
textarea {
  margin: 0;
  padding: 5px;
  width: 80%; }

/*
---------------------------------------------------------------*/
/* line 157, style.scss */
.form_txt {
  font-size: 16px;
  font-size: 1.6rem;
  margin: 30px auto 0 auto;
  width: fit-content; }

/*
---------------------------------------------------------------*/
/* line 168, style.scss */
.topimg {
  background: url(../images/topimgbg.jpg) 50% 0 no-repeat; }

/* line 172, style.scss */
.width {
  padding: 0 10px; }

/* line 175, style.scss */
.widthb {
  max-width: 860px;
  width: 100%;
  margin: auto; }

@media screen and (max-width: 710px) {
  /* line 181, style.scss */
  .width {
    padding: 0 20px; } }
/* line 185, style.scss */
.title1 {
  font-size: 28px;
  font-size: 2.8rem;
  color: #04287e;
  text-align: center;
  margin: 100px 0 0 0; }
  /* line 192, style.scss */
  .title1.first_title {
    margin: 30px auto 0; }

/* line 196, style.scss */
.txt1 {
  font-size: 16px;
  font-size: 1.6rem;
  margin: 30px auto 0 auto; }

@media screen and (max-width: 710px) {
  /* line 208, style.scss */
  .title1 {
    font-size: 20px;
    font-size: 2.0rem;
    color: #04287e;
    text-align: center;
    margin: 30px 0 0 0; }

  /* line 215, style.scss */
  .txt1 {
    font-size: 15px;
    font-size: 1.5rem; } }
/* line 220, style.scss */
.form_staffonly {
  font-size: 16px;
  font-size: 1.6rem;
  margin: 30px auto 0 auto;
  width: fit-content;
  color: #f00; }

@media screen and (max-width: 710px) {
  /* line 228, style.scss */
  .form_staffonly {
    font-size: 15px;
    font-size: 1.5rem; } }
/* line 234, style.scss */
.irai_img1 {
  margin-bottom: 30px; }

@media screen and (max-width: 710px) {
  /* line 239, style.scss */
  .irai_img1 {
    margin-bottom: 20px; } }
/* line 244, style.scss */
p.astarisk {
  margin: 10px 0 0;
  text-indent: -1.0em;
  margin-left: 1.0em; }

/* line 249, style.scss */
.doctor_comment {
  margin: 20px auto 0; }

/* line 252, style.scss */
.doctor_commentb {
  border: 1px solid #ddd;
  padding: 20px 30px; }

/* line 257, style.scss */
.doctor_name {
  text-align: right;
  margin-right: 1.0em;
  margin: 20px 0 0 0; }

/* line 263, style.scss */
.attention {
  text-align: center; }

@media screen and (max-width: 710px) {
  /* line 267, style.scss */
  p.astarisk,
  .doctor_comment,
  .doctor_name,
  .attention {
    font-size: 15px;
    font-size: 1.5rem; } }
/* line 275, style.scss */
span.hissu {
  display: block; }
  /* line 278, style.scss */
  .attention span.hissu {
    display: inline-block;
    margin-right: 5px; }
  /* line 283, style.scss */
  span.hissu i {
    display: inline-block;
    color: #ffffff;
    font-size: 14px;
    font-size: 1.4rem;
    background: #04287e;
    line-height: 1.0;
    padding: 2px 5px;
    font-style: normal; }

/* line 295, style.scss */
.form {
  margin: 40px auto 0; }

/* line 299, style.scss */
.form_stitle {
  text-align: center;
  margin: 40px 0 0 0;
  padding: 0 10px;
  font-size: 20px;
  letter-spacing: 0.05em; }

/* line 308, style.scss */
.formtable table {
  width: 100%;
  border-top: 1px solid #cccccc;
  margin: 10px auto 0; }
  /* line 313, style.scss */
  .formtable table th {
    border-bottom: 1px solid #cccccc;
    padding: 20px 10px;
    vertical-align: middle;
    background: #f0fbff;
    text-align: center;
    width: 240px; }
    /* line 322, style.scss */
    .formtable table th span strong {
      display: inline-block;
      text-align: left; }
  /* line 329, style.scss */
  .formtable table td {
    border-bottom: 1px solid #cccccc;
    padding: 20px 10px;
    vertical-align: middle; }
    /* line 334, style.scss */
    .formtable table td ul.select3 {
      display: flex;
      flex-wrap: wrap; }
      /* line 338, style.scss */
      .formtable table td ul.select3 li {
        padding: 5px 0 0;
        width: calc((100% - 20px) / 3);
        margin: 0 10px 0 0; }
        /* line 343, style.scss */
        .formtable table td ul.select3 li:nth-of-type(3n) {
          margin: 0; }
    /* line 348, style.scss */
    .formtable table td ul.select2,
    .formtable table td ul.select2_1 {
      display: flex;
      flex-wrap: wrap; }
      /* line 353, style.scss */
      .formtable table td ul.select2 li,
      .formtable table td ul.select2_1 li {
        padding: 5px 0 0;
        width: calc(50% - 10px);
        margin: 0 10px 0 0; }
        /* line 358, style.scss */
        .formtable table td ul.select2 li:nth-of-type(2n),
        .formtable table td ul.select2_1 li:nth-of-type(2n) {
          margin: 0; }
    /* line 363, style.scss */
    .formtable table td ul.select3 li.check_other,
    .formtable table td ul.select2 li.check_other {
      width: 100%; }
    /* line 367, style.scss */
    .formtable table td ol {
      margin: 10px 0; }
      /* line 369, style.scss */
      .formtable table td ol li {
        text-indent: -1.0em;
        margin-left: 1.0em; }

@media screen and (max-width: 710px) {
  /* line 379, style.scss */
  .formtable table {
    font-size: 15px;
    font-size: 1.5rem; }
    /* line 382, style.scss */
    .formtable table th {
      display: block;
      width: 100%;
      padding: 5px 10px; }
      /* line 387, style.scss */
      .formtable table th span {
        display: inline-block; }
        /* line 389, style.scss */
        .formtable table th span strong {
          margin-right: 15px; }
    /* line 394, style.scss */
    .formtable table td {
      display: block;
      width: 100%;
      padding: 20px 10px; }
      /* line 399, style.scss */
      .formtable table td ul.select3 {
        display: flex;
        flex-wrap: wrap; }
        /* line 403, style.scss */
        .formtable table td ul.select3 li {
          padding: 5px 0 0;
          width: calc(50% - 10px);
          margin: 0 10px 0 0; }
          /* line 408, style.scss */
          .formtable table td ul.select3 li:nth-of-type(3n) {
            margin: 0 10px 0 0; }
          /* line 412, style.scss */
          .formtable table td ul.select3 li:nth-of-type(2n) {
            margin: 0; }
      /* line 417, style.scss */
      .formtable table td ul.select2_1 {
        display: block; }
        /* line 419, style.scss */
        .formtable table td ul.select2_1 li {
          width: 100%;
          margin: 0; } }
/* line 430, style.scss */
.select-inline &gt; li {
  display: inline-block;
  padding-right: 20px; }

/* line 438, style.scss */
.btn {
  margin: 60px auto; }

/* line 441, style.scss */
.btnb {
  text-align: center;
  padding: 0 20px;
  /*button {
  	display: flex;
  	max-width: 320px;
  	width: 100%;
  	margin: auto;
  	background: #04287e;
  	border-radius: 5px;
  	justify-content: center;
  	padding: 10px 0;
  	font-size: 22px;
  	font-size: 2.2rem;
  	color: #ffffff;
  	font-weight: bold;
  }*/ }
  /* line 459, style.scss */
  .btnb input {
    border: none;
    padding: 0;
    margin: 5px 10px;
    max-width: 100%; }

@media screen and (max-width: 710px) {
  /* line 467, style.scss */
  .btnb {
    display: block; } }
/* line 472, style.scss */
.error {
  color: #F00;
  font-weight: bold; }
  /* line 475, style.scss */
  .error.first {
    margin: 5px 0 0; }

/* line 479, style.scss */
.w100 {
  width: 80%; }

@media screen and (max-width: 710px) {
  /* line 483, style.scss */
  .w100 {
    width: 100%; } }
/* line 487, style.scss */
.w33 {
  width: 6.0em; }

/* line 490, style.scss */
.w_zip {
  width: 6.0em; }

/* line 493, style.scss */
.mgnTop {
  margin: 20px 0 0; }

/* line 496, style.scss */
.address_box {
  margin: 15px 0 0; }
  /* line 499, style.scss */
  .address_box:first-of-type {
    margin: 0; }

/* line 503, style.scss */
.form_pdfbtn {
  margin: 40px auto 200px; }

@media screen and (max-width: 710px) {
  /* line 507, style.scss */
  .form_pdfbtn {
    margin: 40px auto 150px; } }
/* line 515, style.scss */
.form_pdfbtn_single + .form_pdfbtn_single {
  margin-top: 20px; }
/* line 519, style.scss */
.form_pdfbtn_single a {
  display: flex;
  max-width: 380px;
  width: 100%;
  margin: auto;
  background: #04287e;
  border-radius: 5px;
  justify-content: center;
  text-decoration: none;
  padding: 10px 0;
  font-size: 20px;
  font-size: 2.0rem;
  color: #ffffff;
  font-weight: bold; }
  /* line 534, style.scss */
  .form_pdfbtn_single a:before {
    display: block;
    content: '';
    width: 33px;
    height: 40px;
    background: url("../images/form/icon_pdf.png");
    background-repeat: no-repeat;
    background-position: top left;
    background-size: 33px auto;
    margin-right: 15px; }
  /* line 545, style.scss */
  .form_pdfbtn_single a:hover {
    opacity: 0.6; }

@media screen and (max-width: 710px) {
  /* line 553, style.scss */
  .form_pdfbtn_single a {
    font-size: 18px;
    font-size: 1.8rem;
    max-width: 280px; }
    /* line 558, style.scss */
    .form_pdfbtn_single a:before {
      width: 27px;
      height: 32px;
      background-size: 27px auto;
      margin-right: 10px; } }
/* line 568, style.scss */
.form_pdfbtn_single_hiddentxt {
  visibility: hidden; }

/*# sourceMappingURL=style.css.map */
</pre></body></html>