Distinguish referral services from direct appointments
Royal Columbian's facility description says it provides mostly referral services across medical and surgical specialties. That is a reason to check service-specific access, not a basis for promising a specialist appointment. Confirm the required referral content and the route through which it should arrive.
Track separate events: the doctor sent the request, the recipient acknowledged it, and an appointment was arranged. These events have different meanings. A successful transmission does not prove clinical acceptance. Tell patients what stage their request has reached without inventing a wait estimate.
When the recipient needs more information, return the question to an appropriate team member. Keep the doctor responsible for interpretation and urgency. Use a clinical reassessment process if the patient reports worsening symptoms. Simply asking them to wait for the original referral can leave the changed condition unassessed. Referral administration can support continuity, but it cannot replace professional judgment about a changing condition.