2026/Anr/2 3:25:26 PM Translink §55-1212 ; 16
“ona ais Se Lau Re, .

Pg
t WA
A

DOP EL
Occupational Health Departmant

Phone; 604-902-0253 : = —
Conldendial Pas gaaansess2 hiss Form is not Fa xeol
AS per Gene in struction

Fax Cover Sheet See 2% “etes on the

Pleose note; the contents of this tronsmission are confidential. lf you have received this transmission In error, please
contact the sender Immediately and destray this copy,

pare: | Anrl2,2026 FAN.
[ 604-520-5552
TO: | Dr, Ademiluvi FROM:

ete ee eee eet tenes,

["Adebavo Adenekan
ne | Mark Holand PAGES (cover Inctuded):

ns

Neen merenstncaie miaetctcees

Sen

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.be.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 @bertc.be.ca
translink.ca/berte

Page tals