Patient Advocates, we’ve created this page as an effective way to enter prospective patient leads gathered during Lobby Days. Please fill in the following fields, and a lead will then be generated, allowing a NxStage Patient Consultant to follow up with the prospective patient. Thank you.
/* INSERT CUSTOM STYLES HERE */
.nf-form-fields-required {
display: none;
}
.submit-wrap .nf-field-element {
text-align: center;
}
.ninja-forms-field.btn.btn-blue {
padding: .75em 2.5em;
font-weight: bold !important;
border: none;
font-size: 16px;
}
.box-events-sidebar-form--content .btn {
font-weight: bold !important;
border: none;
font-size: 15px;
}
input[type="text"].ninja-forms-field.nf-element, input[type="email"].ninja-forms-field.nf-element, input[type="tel"].ninja-forms-field.nf-element, select.ninja-forms-field.nf-element, textarea.ninja-forms-field.nf-element {
padding: .5em .75em;
}
#page-events-template .box-events-sidebar-form .box-events-sidebar-form--content .inner {
padding: 1.25em 1.25em;
}
#nf-field-307-container {margin-bottom:0px;}
select.form-control {height: 36px !important;}
.radio-list label {opacity: .8;}
.btn-success {background-color:#0079c1;}
