In Tunisia, a person's declaration of health has to be signed and sent facing a Public Health Office. The signatory is anticipated to fill out and sign the health declaration form that contains detailed information on personal health conditions that require a specific level of attention, experience and protection. This form was executed in 2021. To be able to obtain health insurance, one needs to comply with the rules set by the government including supplying annual medical checkups, vaccination of children and girls, paying a yearly fee and getting registration with a valid passport.