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Couples wellness retreat in Puerto Rico: coming together, and what the week is

A couples wellness retreat is one that two people can attend together. THI’s retreat is open to everyone, so couples of any kind are welcome, and so are people coming alone or with friends. Each person applies individually, pays the per-person price and has their own physician assessment. It is not relationship counseling or a romantic package, and we make no promises about your relationship. The retreat is held in English.

Can we help by telehealth?SometimesIt depends on the evaluation.
US$69Doctor visit

Is it an emergency? Call 911.

Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.

See the cancellation policy

You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.

If you choose a time less than 24 hours away, it can't be cancelled or changed.

If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.

Is this an emergency?

This is not an emergency service. Call 911 or go to the nearest emergency room if you have:

  • Chest pain, shortness of breath or fainting: call 911
  • Thoughts of harming yourself: call or text 988, or call Línea PAS at 1-800-981-0023
  • Violence or fear in your relationship: call the National Domestic Violence Hotline at 1-800-799-7233, or 911 if you are in immediate danger

Warning signs: when to go to the ER

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What this is, and is not

The Health Initiative (THI) runs an in-person wellness retreat in Puerto Rico: 5 days starting November 15, 2026. It is open to everyone. Couples of any kind can come, and so can people traveling alone, with friends or with family. There is no separate couples program: it is the same retreat, and you do it together.

What it is not: it is not relationship counseling, it is not marriage or sex therapy, and it is not a honeymoon package or a romantic getaway. We make no promises about your relationship. It is a week to rest, move, learn about habits and have a physician assessment, shared with your partner if you like.

Applying together to a couples wellness retreat

Each person fills in their own application. On the application, tell us you are applying together. We can’t promise in advance that both of you are accepted, that two places are available, or that you share a room.

The cohort has 10 places and applications close November 5, 2026. The price is US$4,500 per person, so each of you pays your own. There is no couples rate or discount. If your application is accepted, you reserve your place with a deposit.

A deposit reserves your place. The amount and terms are confirmed in your acceptance email.

Rooms and time together

Simple, comfortable lodging at the hacienda. Room details, including whether rooms are shared or private, are confirmed in your acceptance email.

A typical day, not a fixed schedule (we share the full schedule with accepted guests): gentle morning movement such as gentle stretching and mobility, breakfast together, a medical or education session, free time or an island activity, dinner, and an evening meditation, with phones kept away during sessions and meals.

If you want to know which parts of the week are optional and how much free time there is, ask us before you apply. What you do with that time is up to you and your partner.

Two separate medical assessments

Each person has their own assessment with Dra. Diana Nieves Castro, a general practice physician licensed in Puerto Rico. What the physician discusses and decides with each of you is individual.

A physician assessment with Dra. Diana Nieves Castro, MD, and lab work when it is clinically appropriate. She provides all the medical care at the retreat.

Labs are ordered only when clinically appropriate for that person. One partner’s health situation does not decide the other’s plan. Each of you brings your own medications; see how to travel with medications.

Doing it with different energy levels

It is common for one person to want to do more than the other. If that is you, ask us before you apply how the week can be adapted.

Examples of what the area offers and what the days may include: a walk in El Yunque rainforest, time at Luquillo beach, a gentle stretching session, and relaxed evenings outdoors. The activities for your cohort are confirmed with accepted guests.

Tell us about your mobility, dietary or other access needs on the application, and we will work with you on what is possible.

The CDC recommends 150 minutes of moderate activity a week for adults and says some physical activity is better than none. That applies to each of you separately.

Talk to us first if

Contact us before you apply if you are pregnant, had surgery recently, have a condition that isn’t stable, were recently hospitalized or have mobility needs. This is about safety: it lets us tell you plainly what is possible. It applies to each partner separately.

If there is violence or fear in your relationship, don’t wait for a retreat: call the National Domestic Violence Hotline at 1-800-799-7233, or 911 if you are in immediate danger. In a mental health crisis, call or text 988 or call Línea PAS at 1-800-981-0023.

In-person retreat in Puerto Rico

A week in Puerto Rico, together or on your own

Rest, mobility coaching, meditation and breathwork, nutrition sessions and a physician assessment for each person. Open to everyone.

  • Five days starting November 15, 2026
  • Applications close November 5, 2026
  • 10 places in the first cohort
  • US$4,500 per person

Online visits are for patients who are in Puerto Rico at the time of the visit.

If your partner won’t attend

You can come without your partner: each person applies individually. If something specific worries you, such as how the week would work or what happens with the room, ask us before you apply and we will tell you what we know.

To plan the trip and the full cost, see what a wellness retreat includes and costs and what to expect at a wellness retreat. If you are curious about meditation or breathing, see the guides to breathwork and guided meditation.

Other ways to come

The retreat is the same for everyone. If another way of coming suits you better, see the solo wellness retreat or the wellness retreat with friends or family.

How we care for you

  • We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.

  • We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.

  • Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.

  • If appropriate, the doctor prescribes and we send your prescription to your pharmacy.

  • You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).

  • In an emergency, call 911.

Frequently asked questions

Can only one of us come?

Yes. Each person applies individually and the retreat is open to everyone. If your partner won’t attend, ask us about anything that worries you before you apply.

Can we share a room?

Simple, comfortable lodging at the hacienda. Room details, including whether rooms are shared or private, are confirmed in your acceptance email.

Do we both apply?

Yes. Each person fills in their own application and tells us on it that you are applying together. We can’t promise in advance that both of you are accepted or that two places are available.

Is there couples counseling at the retreat?

No. The retreat is not relationship counseling or therapy, and it makes no promises about your relationship. It is a week of rest, movement, habits and a physician assessment for each person.

How much does it cost for a couple?

The price is US$4,500 per person, so each of you pays your own. There is no couples rate.

Is it a romantic retreat?

It isn’t designed as a romantic getaway or a honeymoon package. It is a wellness retreat open to everyone, which you can attend together if you like.

What if one of us has a health condition?

Each person has their own physician assessment, and one partner’s health situation does not decide the other’s plan. If the condition is recent or isn’t stable, talk to us before you apply.

Is the retreat held in English?

Yes. The retreat is held in English and is planned for travelers from the mainland US.

Video visit

US$69· Doctor visit

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Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.

See the cancellation policy

You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.

If you choose a time less than 24 hours away, it can't be cancelled or changed.

If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.

  • Doctor licensed in Puerto Rico (24027) Verify (opens in a new tab)
  • Visits are not recorded
  • No insurance needed
  • Secure card payment (may include Apple Pay or Google Pay)

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

About this page

Author: The Health Initiative

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

Disclosure: Founding Executive Director of The Health Initiative

Published: 2026-10-10 · Updated: 2026-10-11