Foremed Clinic

420 Columbia St., New Westminster, BC, V3L 1B1
Ph: 604 522 2206 Fax: 604 522 7206

Certificate of Health Status
2026-01-30
Doctor Gbogboade Ademiluyi (68199)
CPSID 43560
MSP ID 68199

To Whom this may concern:

RE: HOLAND, MARK THOMAS
DOB: 04/09/1978 (d/m/y)

Dear Sirs, Mesdames,

This patient was seen at this clinic today with a significant medical problem/illness, and should rest at home for the next
week to recover.

_s

Signed: Gbogboade Ademiluyi (68199)