American Samoa Health Declaration F
https://nl.ivisa.com/american-samoa-health-declaration-form
It is strongly recommended that you fill out the American Samoa Health Declaration form at least 21 days before your departure. It doesn't matter if you travel by sea or air. However, due to varying CO Sindications, regulation may vary depending on the nation of origin. It is important to understand that no one will inspect your health while you are onboard, nor can they require you to do so once you land at their port. It is important that you declare your health.
There are many laws and regulations in American Samoa regarding health issues. In spite of this, American Samoan enjoy freedom of choice as regards to health issues. A resident of American Samoa may freely choose the healthcare professional or any other healthcare provider that he or she would like to see. American Samoan institutions require that healthcare professionals, such as doctors or nurses, have specialized credentials. On receipt of the health declaration form the doctor or nurse will be accredited and certified by American Samoan institutions.
American Samoans must sign a health declaration form in order to be allowed to seek treatment in the USA. The health declaration form contains the details of the applicant's physical condition and medical history. The applicant must also provide information about his or her citizenship, permanent resident status, and immigration status. The duration of time for which a person must be treated on board a domestic Caribbean hospital or an American Samoan hospital is dictated by the laws, regulations and rules of the American Samoan Health Administration or SAMOA.
This is usually done by filling out a HIPAA form. The HIPAA regulates the privacy of personal health information, outlines how protected information can be disposed of and established certain guidelines for the security of personal health information. In order to obtain an American Samoan passport, applicants need to sign and return to the embassy or Consular office a copy of the HIPAA health insurance card. This is vital as all American Samoa health care providers must register with SAMOA. This ensures that healthcare providers who treat American Samoans meet the international standards on health care and privacy issues. If one does not possess an American Samoa passport then one will still be eligible for healthcare services in American Samoa.
Before receiving healthcare services, one must have a Health Insurance Card (or a Health Declaration). A Health Insurance Card is a document that proves your identity and your entitlement to receive health care in American Samoa. It is also useful in providing additional medical assistance should an emergency arise. An individual who holds an American Samoa Health Insurance Card must show this card at the time of application for healthcare services. American Samoa does not allow anyone to apply for health services without a valid health insurance card.
It is advisable to get a Health Declaration if you or anyone in your family is suffering from an ailment or disease which could potentially result in financial loss. This is because you will need to have health insurance in case you need surgery or major medical treatment. For example, someone who has diabetes will require an insulin prescription. Anyone undergoing a course of treatment for cancer will need a bone scan or a tissue scan. A medical examination will determine the amount of your monthly out-of-pocket medical expenses. Your declaration will also provide a list of all diseases or medical conditions you have, their treatments and the amount you will be reimbursed for such treatments.
