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📄 BCRTC MEDICAL QUESTIONARE | p.1
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bertc

Occupational Health Department
Phone: 604-902-0253
Confidential Fax: 604-520-5552

Page 1 of

Fax Cover Sheet

Please note: the contents of this transmission are confidential. If you have received this transmission in error, please
contact the sender immediately and destroy this copy.

DATE: | April 2, 2026 FAX No.
604-520-5552

To: Dr. Ademiluyi FROM:
Adebavo Adenekan

RE: Mark Holand PAGES (cover included):
5

Dear Dr. Ademiluyi,

Please see attached medical questionnaire for completion to support with
further return to work planning for your patient, Mr. Mark Holand.

Please return the Medical Questionnaire via fax to F: 604.520-5552 or via
password protected email to adebayo_adenekan@bertc.bc.ca

Do not hesitate to contact me should you have any questions.
Kind regards,

Adebayo Adenekan

OCCUPATIONAL HEALTH SPECIALIST

Occupational Health and Wellness

T: 604-902-0253 | F: 604-520-5552 | E:adebayo_adenekan @bcrtc.bc.ca
translink.ca/bertc