Mar 12, 2026 11:58 To: +16042339777 Page: 04/46 From: Foremed Medical Clinic Fax: 16043985614
Fax Server 2/23/2026 9:58:11 AM PST PAGE 3/005 Fax Server

TO:Dr. Ademiluyi COMPANY:

Regarding: 42647461 MARK HOLAND Page 2

Thank you for your earliest attention to this matter. If you have questions, you may cail
my direct line, 250.354.5765, or the toll free line 1.888.967.5377, local 5765.

Sincerely,

Ms Madison Davidson
Office Assistant H] AO
Case Management Services

Enclosure(s}: 10017 Request for Severed Physician/Psychiatrist Records
Worker's Signed Release Form 69W1 Worker Auth Release Personal
Info

PLEASE iNCLUDE CLAIM OR ACCOUNT NUMBER IN ALL CORRESPONDENCE

Workers’ Compensation Board of British Columbia

ca 0 RG

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