Here is the rest of the email:
Instructions for Arranging Medical Examinations
All immigrants and certain categories of visitors who are seeking admission to Canada must satisfy Canada's medical admissibility criteria. In order to determine your medical admissibility to Canada, you and all of your dependant family members (if any) are required to redo a medical examination since your previous medical examination has expired. This examination is required whether or not your dependents will accompany you to Canada.
The medical examination must be performed by one of the licensed doctors shown on our List of Designated Medical Practitioners (DMPs), accessible here: www.cic.gc.ca/dmp-md/medical.aspx
All family members should be examined by the same DMP. If you or one of your dependents are outside of your home country for an extended period of time, you may see another DMP.
You should contact one of these DMPs immediately to book an appointment for a medical examination as soon as possible. If you do not undergo all medical examinations within 40 days of the date of this letter/email, your application could be refused.
This letter does not guarantee that visas will be issued. Do not dispose of property or effects, give up employment or accommodations, or take other similar steps towards your proposed migration or visit until your application has been finalised. Immigrant applications may take as much as another 6 months to process from the date of the medical examination. Do not contact our office for a status update until at least six months after your medical examination date. Any enquiries should be directed to our office in Ankara.
If there is any change in your family status for you or your dependents (e.g. marriage, divorce, birth, death), you must inform our office in writing immediately.
You and each family member should follow these instructions when they attend their medical examination:
1. Please bring the following to the medical appointment:
the Medical Report form enclosed with this letter,
4 recent colour passport-sized photographs,
eye glasses (if applicable),
list of all prescription drugs you are taking,
all relevant medical reports, test results, or X-rays that you may have as a result of particular medical conditions or previous medical treatment. Include medical reports for any past or present serious illness or disability,
original passport or other official proof of identity.
2. All fees related to your medical examination are your responsibility.
3. Tell the doctor about all past serious illnesses, operations and treatments you have received or are receiving. Failure to report a medical condition could result in the refusal of your application for misrepresentation.
4. Various tests will be conducted, including chest x-rays, blood tests and urinalysis. After the completion of your initial medical examination and submission of reports, further tests or reports may be requested.
5. To avoid unnecessary delays, ensure that the doctor:
§ answers all questions in Sections B through E of their Medical Report form,
§ attaches original lab results, and
§ forwards original chest x-ray(s) [do not roll] to the address below:
Embassy of Canada
Immigration Medical Section
35 ave. Montaigne
6. The DMP performing the medical examination (not the applicant) must send the reports. The doctor may charge you an additional fee for this. All medical documents become the property of Citizenship and Immigration Canada.
7. It is recommended that routine immunizations for all children and adults are initiated/completed before departure for Canada. It is also recommended to bring all immunization records to Canada. This has many advantages for the applicant. For instance, some Canadian provinces require presentation of such records when children or adults enrol in school.