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A Bonaire Health Declaration Form is a valid, national form that certifies that the applicant is an eligible person under the Medicaid program. The form is used by households and individuals who need health coverage to make an application for aid. Qualification criteria require that a person be 18 decades old or older, be getting Medicaid, maintain generally acceptable wellbeing, be a drug dependent, and not be financially liable for any component of the cost of any medical care given.