When would you consider a referral handoff complete?

Instruction: Describe the current referral status and the next actions that would close the gap.

Context:

Fictional office policy: a referral is tracked through sending, receiving-office acknowledgment, and confirmation that the patient understands the next step. The dentist decides clinical urgency. Current record: referral sent Monday through the approved channel; acknowledgment absent Tuesday; patient says nobody has contacted them; coordinator Sam owns tracking and is available today. You may check status and pass messages, but cannot set clinical urgency or promise an appointment.

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I'd describe the referral as sent but not yet acknowledged, with the patient's next step still unclear...

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