Dominican Republic Travelers, it's an absolute necessity to take a Dominican Republic Travelers Health Affidavit for each step of traveling outside the island. In accordance with the International Health Care Services Act(IHCSA) all of health care insurance will be immediately announced on entry to the country. However, this doesn't apply to Dominican Republic Travelers who is entering via the points of entrance like Punta Cana or San Juan. Where you're entering the Dominican Republic, you'll need to have the suitable IHCSA documentation hand to be treated by the correct health providers. Failure to do so could result in significant fines and charges against you.