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Pon: e04202.253
Content a: 045708552

Fax Cover Sheet

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[Tbr Gtontosde Ademiluvi

To:

ne; [Mark Holand

PAGES eer: FS

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 adebaya_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.be.ca