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ONE Tiga
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OCCUPAT TONAL FITNESS ASSESS MEN T (OFA) FOR! Mi
Date: March 24, 2026
Dear Dr, Ademiluyt
RE: MARK HOLAND

At British Columbia Rapld Transit Company (BCRTC) we have a program to explaré options to
accommodate 2 st " “

employee's limitations and restrictlons In the workplace when these are:a. result of a medical
conditlon. 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 thatwe may
understand your patlent’s condition In regard to thelr return to work planning.

In circumstances where an individual is unable to perform the core dutles of thelr position due to
a temporary or permanent disability, BCRTC parties will meet to discuss and.consider the avallable
medical evidence regarding the nature of the disability and, If necessary, options with respect to
the accommodation of the employee.

ARGUE ealeners eimerialinformatzn received about them In accordance with applicable.
privacy legislation. -

y Please find eae completed Authorization form allowing disclosure of this information to »

(*

BCRTC Occupational Health.
Instructlons Physician/Health Care Pravider:
1, Ensure your patlent 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 emall to

adehayo_adenekan@berte.be.ca
Billing Instructions

Please fax your Involce In accordance with BCMA fee schedule for campletion of the attached form
ta 604-520- 5552, Please note that we are unable to process an Involce unless it contalns your
Involce number and MSP billing number.

Should you require pre-payment, the fea Is pald by the employee and then a recelpt may be
submitted to the employer by the employee for ralmbursement. , ,

Thank you, tn advance, for your assistance, Please contact me If you have any questions.

Best regards,
Adebayo Adenekan, DPhty., 8.Kin OCCUPATIONAL HEALTH SPECIALIST
Occupational Health and Wallness

T: 604,902.0253| F:604.520-5552 | translink.ca/bcrtc

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