Dominica Health Questionnaire


Demographic Information


e.g John
e.g me@home.com
e.g me@home.com
MM/DD/YYYY

Permanent address (non-nationals) /Address abroad (nationals)

Apt/Street/Building# max length(50 characters)
max length(50 characters)
Hotel/Apt/Street/Building# - Max length (50 characters)
e.g UN Embassador max length (50 characters)

Flight/Route Information


COVID-19 Status Assessment Questions






Safe in Nature Booking


If you are not vaccinated, please upload your SIN Booking.

Children under Eighteen (18) years of age need to upload image of passport opened to the page with Biometric information or Picture ID

Children will be given the status of their accompanying parent

PCR Test


Payment Options


Please note that you can now make payments online for COVID-19 related expenses such as your Antigen Test on arrival if necessary.
Navigate to Government of Dominica ePayment Application and select the fee you wish to pay.

Terms and Conditions


By completing and submitting this questionnaire, you are agreeing to comply with and be bound by the following terms and conditions -
All travelers are required –


All travelers are required –
1. to sanitize their hands at sanitization stations as directed;
2. to undergo a health assessment to include a temperature check;
3. to undertake a Rapid Diagnostic Test.
4. to wear mask at all times.

TESTING:


 A rapid antigen test will be administered to all fully vaccinated travellers on arrival.

  1.  If Antigen Test is positive, and traveller is symptomatic, the traveller will be admitted to Covid Care Complex (CCC).

  2. If Antigen Test is positive, and traveller is asymptomatic, an authorized health care provider shall place a red band on the wrist of the traveller and the traveller must be isolated at home or a certified Safe in Nature property for a minimum period of 10 days at the travellers expense

  3. If Antigen Test is negative, traveller will be deemed medically cleared at the discretion of medical officials

  4.  Travellers shall proceed to Immigration for processing and to Customs for screening.

  5. There shall be no mandatory quarantine for fully vaccinated travellers who have been medically cleared.

  6.  Travellers who are positive and asymptomatic shall utilize certified transportation home.

  7. Travellers who are positive and asymptomatic shall self-monitor, record temperature daily, and report any symptoms to health professionals.

  8. Travellers who are positive and asymptomatic and are utilizing paid accommodation shall only book at Safe in Nature certified properties.


VACCINATED TRAVELLERS WITHOUT A VALID PCR RESULT:


 A rapid antigen will be administered on arrival.

  1.  If the result of the Rapid Antigen Test is positive, and the traveller is symptomatic, the traveller will be admitted to Covid Care Complex (CCC) until released by an authorized Health Professional. Hospital fees will apply.
  2.  If the result of the Rapid Antigen Test is positive, and the traveller is asymptomatic, an authorized health care provider shall place a red band on the wrist of the traveller and the traveller must be isolated at home or a a certified Safe in Nature property for a minimum period of 10 days at the traveller’s expense.
  3. The wrist band will be removed on day 11 by an authorized medical official and the traveller will be deemed medically cleared at the discretion of medical official
  4. If the result of the Antigen test is negative, traveller will be transported to mandatory quarantine at a Safe in Nature-certified private property and an Antigen test will be repeated on day 3.
    1. If test is negative, the traveller will be medically cleared at the discretion of medical officials.
    2.  If test result is positive, the traveller will be isolated according to (i) or (ii) above.

All costs incurred during the period of quarantine/treatment including PCR test must be paid prior to discharge.

Penalties will be applied for giving false information in the questionnaire and disregarding the quarantine process.

Staff

  • 8
    ...

    Bob Nilson

    Project Manager
  • ...

    Nick Larson

    Art Director
  • 3
    ...

    Deon Hubert

    CTO
  • ...

    Ella Wong

    CEO

Customers

  • 2
    ...

    Lara Kunis

    CEO, Loop Inc
    Last seen 03:10 AM
  • new
    ...

    Ernie Kyllonen

    Project Manager,
    SmartBizz PTL
  • ...

    Lisa Stone

    CTO, Keort Inc
    Last seen 13:10 PM
  • 7
    ...

    Deon Portalatin

    CFO, H&D LTD
  • ...

    Irina Savikova

    CEO, Tizda Motors Inc
  • 4
    ...

    Maria Gomez

    Manager, Infomatic Inc
    Last seen 03:10 AM
Bob Nilson 20:15 When could you send me the report ?
Ella Wong 20:15 Its almost done. I will be sending it shortly
Bob Nilson 20:15 Alright. Thanks! :)
Ella Wong 20:16 You are most welcome. Sorry for the delay.
Bob Nilson 20:17 No probs. Just take your time :)
Ella Wong 20:40 Alright. I just emailed it to you.
Bob Nilson 20:17 Great! Thanks. Will check it right away.
Ella Wong 20:40 Please let me know if you have any comment.
Bob Nilson 20:17 Sure. I will check and buzz you if anything needs to be corrected.

General

System

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System Settings

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