https://es.ivisa.com/bonaire-health-declaration-form A Bonaire Health Declaration Form is a valid, national form that certifies that the applicant is an eligible person under the Medicaid program. The form is used by households and people who need health coverage to apply for assistance. Qualification criteria require that a person be 18 decades of age or older, be getting Medicaid, maintain generally acceptable wellbeing, be a drug dependent, rather than be financially accountable for any component of the cost of any medical care given.