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