Appointment Change Status Cards

Create a three-card visual from [approved clinic wording] showing request sent, clinic response pending and replacement confirmed as separate administrative states. Use both shapes and symbols, not color alone. Keep dates, names and labels in editable blank zones. Do not show a confirmed replacement unless the example explicitly includes one; add a separate canceled state if the supplied example needs it.

Use the attached references only for the specified visual attributes. If a required reference is missing, request it before generation. Produce one finished image with a deliberate focal point, consistent geometry and clean margins. Keep any exact wording on a separate editable label layer or leave its area blank. Do not invent evidence or present an illustration as documentary proof.