Dominican Republic Travelers, it is an absolute requirement to carry a Dominican Republic Travelers Health Affidavit for every measure of traveling beyond the island. As per the International Health Care Services Act(IHCSA) all healthcare insurance will be immediately declared on entry to the country. However, this doesn't apply to Dominican Republic Travelers who is entering via the points of entry such as Punta Cana or San Juan. Where you are entering the Dominican Republic, you will need to have the suitable IHCSA documentation in hand to be medicated by the correct healthcare providers. Failure to do this can result in significant fines and charges from you.