I would recommend you change your HTML form like this
<li><label for="firstname">PATIENT FIRST NAME: </label><input type="text" id="firstname"/></li>
<li><label for="middle">PATIENT MIDDLE INITIAL:(OPTIONAL) </label><input type="text" id="middle" /></li>
<li><label for="last">PATIENT LAST NAME: </label><input type="text" id="last" /></li>
<li><label for="date">DATE OF BIRTH: </label><input type="text" id="date" /></li>
<li><label for="gender">GENDER: </label><input type="text" id="gender" /></li>
<li><label for="id">SUBSCRIBER ID: </label><input type="text" id="id"/></li>
- Give each form field a unique identifier
for , .
css #form-container label, :
width: 210px;
. .