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