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Occupational Health Department
Phone’ 604-802-0253
Confidential Fax: 604-526-5552

Fax Gover Sheet

Please note: the contents of this transmission ore confidential... yav nave received this transmissian in error, please contact the sender
immediately ond destroy this copy.

pate: | March 24, 2026 FAX No, { 604-542-7787.

To: | Dr. Ghoeboade Ademiluv! _. _____ FROM: | Adebayo Adenekan
RE: J Mark Holand PAGES (cover included): Ts

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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 | Fi 604-520-5552 | E: adebayo_adenekan@bcrtc,be.ca