It is an absolute requirement to have a Dominican Republic Travelers Health Affidavit at every step of traveling from the country. As per the International Health Care Services Act (IHCSA) your medical insurance will be instantly declared upon entry to the country. The Department of Health and Safety issued under this article which functions as a general advisory for travelers. This guide is also posted in their official Facebook page. Should you find any errors in this guide, please contact the Department of Health and Safety for clarification.