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safe. anonymous. non-judgmental.

Harm Reduction Services is a hub for people who use drugs, their families and the community at-large.  Everyone who walks through our doors is treated with care, dignity and respect.

We believe in building relationships with people who use drugs and connecting them to care when they're ready. It's compassionate healthcare, without judgement.

If you or someone you know is in need of support, call us at 585.454.5556.

how we can help

We offer free walk-in testing for HIV, Hepatitis C, and Sexually Transmitted Infections.

We build relationships and connect people to healthcare and supportive services.

We help people in need with basic necessities, such as food and clothing.

connections to care

We offer primary care, wound care, vaccinations and more on our mobile clinic.

We help people who are struggling with substance use get connected to treatment. Finances are never a barrier to care.

We provide supplies to keep people who use drugs safe. We also provide information about how to inject more safely.

opioid overdose prevention

Harm Reduction Services offers free NARCAN® training online, in-person and over the phone to counteract the life-threatening effects of an opioid overdose.

To register for an upcoming training session, click here. If you have any questions, please contact, or call 585.210.4146.


Please be advised that, as a program funded by the New York State Department of Health, Trillium Health will not be able to provide NARCAN to out-of-State registrants. Out-of-state registrants may still attend the trainings.  They will receive a Certificate of Completion and the Information Packet, but will not receive NARCAN.

Please check online for programs that your county or state health departments may offer, for Harm Reduction Services offered in your area, or for local syringe exchange programs. Also, check the NEXT Distro website for more information.

help keep our community free of used needles

If you see used needles or syringes (also known as “sharps”), follow the tips below to pick them up safely. Please call 585.210.4137 and leave a voicemail - a member of our team will respond within 1-2 business days.

DO NOT touch a needle with your hands.
Wear thick, heavy gloves on both hands, and use another object, like tongs or pliers, to pick up used needles.

Collect needles in thick, puncture-proof containers. Detergent bottles or coffee cans work well. Place the container on a level surface, and be sure to close the lid tightly.

Dispose of the sharps you collect safely and responsibly. Never put loose sharps in a trash or recycling bin! To find a location to dispose of sharps, visit

contact us

Syringe Service Program – Monroe County
39 Delevan Street,
Rochester, NY 14605
Monday: 1:00 p.m. - 4:00 p.m.
Tuesday: 9:00 a.m. - 4:00 p.m.
Wednesday: 1:00 p.m. - 4:00 p.m.
Thursday: 1:00 p.m. - 6:00 p.m.
Friday: 1:00 p.m. - 4:00 p.m.

Mobile Syringe Service Program – Ontario County
Please call us to make arrangements!