body
{
	background: #f7f5f5;
	margin: 0px auto 10px auto;
	font-family: Arial, Helvetica, sans-serif;

}
input
{
height:17px;
margin-left:5px;
}

#container
{
	margin: 0px auto 0px auto;
	background: #ffffff;
	text-align: left;
	width: 790px;
	padding: 0px 0px 0px 0px;
	border: solid 0px #bbbbbb;
	overflow:hidden;
}
#header
{
    margin:0px;
    border:0px;
    padding:0px;
width: 770px;
height:206px;
}
#header_left
{
float:left;
margin:110px 0px 0px 0px;
padding:0px 0px 0px 0px;
border:0px;

}
#header_right
{
float:right;
margin:0px ;
padding:0px;
border:0px;
}
#ref_main
{
width:730px;
height:43px;
margin:20px 0px 0px 40px;
border-bottom:solid 2px #c0ae2c;
border-top:solid 2px #c0ae2c;
padding-top:0px;

}
#referal_form
{
clear:both;
float:left;
font-family:Sylfaen;
font-size:35px;
color:#005595;
font-style:italic;
height:40px;


}
/*#ref_print
{
background:  url(images/printer.JPG) no-repeat right center;
height:42px;
margin-top:0px;
float:right;
font-family:Arial;
vertical-align:middle;

color:#005595;
padding-right:50px;
font-weight:bold;

}*/
.ref_print
{
margin-top:15px;
float:right;
font-family:Arial;
font-size:15px;
color:#005595;

font-weight:bold;
width:120px;
padding-right:0px;
}
.ref_img
{
    margin-top:10px;
float:right;
margin:10px 5px 0px 5px;


font-weight:bold;
width:28px;
height:27px;
padding-right:15px;
}
.ref_img img
{
border:0px;
}

.ref_fax
{
margin-top:15px;
float:right;
font-family:Arial;
font-size:15px;
color:#005595;
padding-left:25px;
font-weight:bold;
text-align:right;
}
.ref_submit
{
  margin-top:15px;
    font-family:Arial;
font-size:15px;
color:#005595;
font-weight:bold;
float:right;

width:50px;
padding-right:0px;
}
#main
{
width:550px;
float:left;
border:0px;

margin-left:25px;
margin-top:20px;

}
#right_banner
{
   
   padding-top:20px;
  
    width:175px;
    float:right;
    border:0px;
    border-left:solid 2px #c0ae2c;
    text-align:center;
}
.subtitle_main
{
width:100%;
}
.subtitle
{
    margin-top:5px;
font-family:Arial;
font-size:15px;
color:#005595;
font-weight:bold;
width:200px;
float:left;
}
.subtitle_date
{
font-family:Arial;
font-size:15px;
color:#005595;
font-weight:bold;
width:220px;
float:right;
text-align:right;
}
#txtDate
{
width:80px;

}
#dtspan
{
color:Black;
font-weight:normal;
font-size:12px;
}
.input_main
{
/*margin-top:5px;*/
clear:both;
padding-top:5px;
color:Black;
/*font-weight:bold;*/
font-size:12px;
float:left;
width:526px;
vertical-align:top;
margin-left:25px;
/*border:solid 1px black;*/

}
.name
{
    float:left;
    width:265px;
   
    border:0px;
    margin:0px;
    padding:0px;
}
.name_reff
{
    float:left;
    width:100%;
   
    border:0px;
    margin:0px;
    padding:0px;
}
.name_reff input
{
/*margin:0px;
padding:0px;*/
}
 
#name input
{
    width:150px;
    
   
    margin:0px;
}
.spnspacer
{
    float:left;
width:30px;
}
#gender
{
   text-align:right;
   float:right;
    width:150px;
    height:20px;
    border:0px;
    margin:0px;
    padding:0px;
}
.altphn
{
    float:right;
    width:260px;
   text-align:left;
    border:0px;
    margin:0px;
    padding:0px;
}
.lbl
{
width:90px;
padding:0px;
margin:0px;
float:left;
padding-top:3px;
}
.txtinput
{
   
    float:left;
    width:100px;
   
}
.spacer
{
    float:left;
height:15px;
width:100%;

}
.big
{
float:left;
width:100%;
height:1px;
color:#000000;
background-color:#000000;
}
#Pref
{
width:300px;
}
#namebig
{
    width:100%;
    
}
#namebigth
{
width:100%;
font-weight:normal;
font-style:italic;
font-size:12px;
font-family:Verdana,Myriad-Italic;
}
/*#rdblstPrePhy td
{
padding-left:30px;
}*/
#rdblstPrePhy label 
{
padding-right:75px;
}
.fade
{
width:350px;
color:#7293C1;
}
.fadename
{
    float:left;
    width:170px;
   
    border:0px;
    margin:0px;
    padding:0px;
    margin-right:10px;
    color:#939598;
}
.fadename input
{
width:80px;
}
.imgtl
{
width:28px;
margin:0px;
padding-right:5px;
margin-left:-20px;
}
.noimg
{
height:28px;
Width:28px;
}
#ttl
{
font-family:Sylfaen;
color:#005595;
font-size:20px;
font-style:italic;
}
.locimg
{
width:147px;
height:93px;
margin:10px auto 5px auto;
}
.rightrd
{
width:147px;
height:93px;
margin:10px auto 5px auto;
font-size:10px;
text-align:left;
}
.full
{
width:100%;
}
#fadelbl
{
    margin-left:60px;
}
.add
{
     width:525px;
}
.add input
{
width:408px;
}
#txtdob
{
width:80px;

}
.dob
{
    width:200px;
}
.ssn
{
   /* width:270px;*/
    text-align:left;

}
.ssn input
{
width:69px;
/*margin-right:6px;*/
}
.ssn .lbl
{
width:163px;
/*margin-left:17px;*/

}
/*#rdblstPrePhy input {
      width: 20px;
      display: block;
      float: left;
   }
  #rdblstPrePhy label {
      width: 200px;
      display: block;
      float: left;
   }*/