
form#patientregistrationform {
	width: 360px;
	text-align: left;
}

form#patientregistrationform fieldset {
	margin: 0;
	border: 0;
	padding: 0;
}

form#patientregistrationform legend {
	display: none;
}

form h3 {
	clear: both;
	padding: 10px 0px 10px 0px;
	margin: 0;
	font-size: 14px;
}

form h2 {
	clear: both;
	padding: 16px 0px 16px 0px;
	font-size: 16px;
	margin: 0;
}

form h4 {
	clear: both;
	padding: 5px 0px 5px 0px;
	font-size: 12px;
	margin: 0;
}

form#patientregistrationform label {
	display: block;
	width: 310px;
	font-size: 12px;
	line-height: 14px;
	padding: 0px 0px 12px 0px;
}

form#patientregistrationform input {
	display: block;
	margin-top: 3px;
}

form#patientregistrationform select {
	float: left;
	display: block;
}

form#patientregistrationform label.field-first,
form#patientregistrationform label.field-address,
form#patientregistrationform label.field-city,
form#patientregistrationform label.field-email {
	clear: left;
}


form#patientregistrationform label.field-first,
form#patientregistrationform label.field-last,
form#patientregistrationform label.field-city,
form#patientregistrationform label.field-email,
form#patientregistrationform label.field-phone {
	float: left;
	margin: 0px 10px 0px 0px;
	width: 150px;
}

form#patientregistrationform label.field-first input,
form#patientregistrationform label.field-last input,
form#patientregistrationform label.field-email input,
form#patientregistrationform label.field-city input,
form#patientregistrationform label.field-phone input {
	float: left;
	width: 150px;
	padding: 0px;
}

form#patientregistrationform label.field-state {
	float: left;
	margin-right: 10px;
	width: 60px;
}

form#patientregistrationform label.field-state select {
	width: 60px;
	float: left;
	margin-top: 3px;
}

form#patientregistrationform label.field-zip {
	float: left;
	width: 70px;
	margin: 0 13px 0 0;
}

form#patientregistrationform label.field-zip input {
	float: left;
	width: 70px;
	
}

form#patientregistrationform label.field-address {
	float: left;
	width: 310px;
	margin: 0px 0px 0px 0px;
}

form#patientregistrationform label.field-address input {
	float: left;
	width: 310px;
	padding: 0px;
}

form#patientregistrationform input#radiobutton_1,
form#patientregistrationform input#radiobutton_2,
form#patientregistrationform input#radiobutton_3,
form#patientregistrationform input#radiobutton_4,
form#patientregistrationform input#single,
form#patientregistrationform input#married,
form#patientregistrationform input#seperated,
form#patientregistrationform input#divorced,
form#patientregistrationform input#widowed,
form#patientregistrationform input#dependent,
form#patientregistrationform fieldset#recommended input
 {
	clear: left;
	float: left;
	padding: 0px;
	margin: 0px 0px 0px 0px;
}





form#patientregistrationform input#male,
form#patientregistrationform input#female {

	padding: 0;
	margin: 0;
		display:inline;
		width: 2em;
}

form#patientregistrationform label.radioitem {
	clear: none;
	margin: 0px 0px 0px 25px;
	padding: 0px 0px 15px 0px;
}

div.colums2 {
	width: 120px;
	float: left;
}


textarea {
	display: block;
}

form#patientregistrationform input#checkbox_1,
form#patientregistrationform input#checkbox_2,
form#patientregistrationform input#checkbox_3 {
	clear: both;
	float: left;
	padding: 0px;
	margin: 0px;
}

form#patientregistrationform label.field-checkbox {
	clear: none;
	margin: 0px 0px 0px 25px;
	padding: 0px 0px 15px 0px;
}

form#patientregistrationform textarea {
	margin-top: 3px;
}

