All of the Ardens reports and status alerts are set to trigger based on registration type. 

Sometimes when registering a patient, no registration type is selected and the registration is left ‘incomplete’.

There is a TPP built-in report you can use to find these patients by going to Reporting > Incomplete Registrations

As soon as the registration is complete, the Ardens status alert icons will appear on their record.

Sometimes, no icons will appear on a test patient record. If this is the case, you just need to open the record and go to Patient > Patient Maintenance > Patient Care (IOS)

You can then select a registration type.

Below I have added GMS Applied, Transfer In. If you then save the record and re-retrieve, the icons should all appear for you.