It is an absolute requirement to have a Dominican Republic Travelers Health Affidavit at every step of traveling out of the country. In accordance with the International Health Care Services Act (IHCSA) your medical insurance will be immediately declared upon entry to the nation. The Department of Health and Safety issued under this article which serves as a general advisory for travellers. This article can be posted on their official Facebook page. In case you find any mistakes in this article, please contact the Department of Health and Safety for clarification.