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https://de.ivisa.com/dominican-republic-travelers-health-affidavit

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