Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations declare it is not read-only, not destructive, not idempotent and closed-world, so the safety profile is already covered. The description adds genuinely new behavior: a verification code is emailed to the patient first and the request is only sent after confirmation, and the request may go out by email or the clinic's web form. It stops short of stating failure modes (e.g., invalid code, repeat invocation).
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.