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📁 MARK'S DOC
🔗 Linked Evidence
FOREMED_FAX_MARCH_24-26_3-6 — p.1
📄 FOREMED FAX MARCH 24-26 3-6 | p.1
📄 FOREMED FAX MARCH 24-26 3-6 | p.1
📝 Extracted Text (OCR)
12420219 PM ‘Tranelnk 585-1212 a6 OCCUPATIONAL FITNESS ASSESSMENT (OFA) FORM arch 24, 2026 Dear Dr, Ademiluyt RE: WARK HOLAND bate ‘At British Columbia Rapid Transit Company (BCATC] we have 2 program to explaré options to accommedate employee's limitations and cestrietions In the workslace when these are a result of @ medical condition Weare committed to working with yauto assist your patientané to thatend, we request thatyou complete und return the ached Occupational Fitness Assessment (OFA) So that we may Understand your patient’ condition in regard to thelrratura to werk planning, In elrcumstances where anIndlvidual i unable to perform the core duties of thelr position due to 1a temporary or permanent disability, CRTC partes will meet to dlscuss and consider the avalleble redial evidence regarding the nature ofthe elsabilty and, If necessary, options with respect to the accommodation ofthe emplayee. [BCRTC wil safeguard all medical Information received about them In accordance with applicable privacy lagiltion. Please find Included the completed Authorization form allowing dlsclosure ofthis infarmatien to BCATC Occupational Hesith. Instruetlons Physefan/Health Care Provider: 1 Ensure your patient has completed Employee Consent below, 2, Complete Occupational Fitness Assessment (OFA) Form. 3, Please return the completed, OFA form via fex to 604-520-5552 or vio email to adebave adenolan@bertzbeca alilog Instruction lease foxyout Involee in accordance with @CMA ee schedule for completion of the attached form to 604-520- 5552, Please note that we are unable to process an involee unless i contalns your Involee number and MSP bing number. ‘Should you require pre-payment, the fee Is pald by the employee and then a recelpt may be submitted tothe employer y the employee forralmbursement. ‘Thankyou, In advance, fr your asslstanca, Please contact me'f youheve any questions. Best regards, ‘Adebayo Adenekan, OPhty, B.Kin OCCUPATIONAL HEALTH SPECIALIST (Ceeupotional Health and Wellness 604.902.0253] F:604.520-5552 | translink.ca/ecrte