2026/Mar/26 1:50:30 PM = 16043985614->555-1212 6/10
Mor 26, 2026 01:45 To: +16045205552 Page..06/10 From: Forerned Medical Clinic Fax: 46043985614

2026/Mari24 2:14:29 PM Translink 655-1212 414

he C rt: An tategrated y
Ropid Teunsit Company

Occupations) Health Oepsrtment
Phone: 604-902-0253
Contidentlal Fox; 804-520-5552

Fax Cover Sheet

Please nate: the contents of this transmission ore confidential. if you hove received this transmisstan In error, please contact the sender
Immediately ond destroy this copy,

pare; | March 26, 2026 raxne, | 604-542-7787 —
to; | Dr. Ghorb Ghosboade Ademiluvi From: | Adebavo Adenekan _
RE: Mark Holand PAGES (cover inciuded): { 5

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 Questionnalre via fax to F: 604.520-5552 or via
password protected email to adebayo _adenekan@berte.be.ca

Do nat 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: adehayo_adenekan@berte.be.ca

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