🔗 Linked Evidence
OFA_BLANK_MARCH_24 — p.1
📄 OFA BLANK MARCH 24 | p.1
📄 OFA BLANK MARCH 24 | p.1
📝 Extracted Text (OCR)
bertc OCCUPATIONAL FITNESS ASSESSMENT (OFA) FORM Date: March 24, 2026 Dear Dr. Ademiluyi RE: MARK HOLAND At British Columbia Rapid Transit Company (BCRTC) we have a program to explore options to accommodate employee’s limitations and restrictions in the workplace when these are a result of a medical condition. We are committed to working with you to assist your patient and to that end, we request that you complete and return the attached Occupational Fitness Assessment (OFA) so that we may understand your patient’s condition in regard to their return to work planning. In circumstances where an individual is unable to perform the core duties of their position due to a temporary or permanent disability, BCRTC parties will meet to discuss and consider the available medical evidence regarding the nature of the disability and, if necessary, options with respect to the accommodation of the employee. BCRTC will safeguard all medical information received about them in accordance with applicable privacy legislation. Please find included the completed Authorization form allowing disclosure of this information to BCRTC Occupational Health. Instructions Physician/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 fax to 604-520-5552 or via email to adebayo_adenekan@bcrtc.bc.ca Billing Instructions Please fax your invoice in accordance with BCMA fee schedule for completion of the attached form to 604-520- 5552. Please note that we are unable to process an invoice unless it contains your invoice number and MSP billing number. Should you require pre-payment, the fee is paid by the employee and then a receipt may be submitted to the employer by the employee for reimbursement. Thank you, in advance, for your assistance. Please contact me if you have any questions. Best regards, Adebayo Adenekan, DPhty., B.Kin OCCUPATIONAL HEALTH SPECIALIST Occupational Health and Wellness T: 604.902.0253 | F: 604.520-5552 | translink.ca/bertc