North Carolina Safer Syringe Initiative

Welcome to the North Carolina Safer Syringe Initiative. Here you will be able to find information about existing syringe exchange programs in the state, resources for healthcare providers and law enforcement agencies, testing and treatment programs, details about the limited immunity provided under the syringe exchange law, and information for health departments, community-based organizations, and other agencies interested in starting their own exchanges. Please find an updating list of active programs and contact information below.

North Carolina Safer Syringe Initiative Assistance

Syringe Exchange FAQs

Syringe Exchange Programs in North Carolina

Participant Cards and Limited Immunity

Quick Answers for Law Enforcement Personnel

Resources for Providers

HIV and Hepatitis C Prevention and Treatment Resources

Preventing Transmission of Infections

Syringe Exchange Models

Funding Syringe Exchange Programs

Links and Resources

As of July 11, 2016, North Carolina (S.L. 2016-88) allows for the legal establishment of hypodermic syringe and needle exchange programs. Any governmental or nongovernmental organization “that promotes scientifically proven ways of mitigating health risks associated with drug use and other high risk behaviors” can start a syringe exchange program (SEP). The Division of Public Health and the Department of Health and Human Services do not operate syringe exchanges in North Carolina.

Included in the law is a provision that protects SEP employees, volunteers, and participants from being charged with possession of syringes or other injection supplies, including those with residual amounts of controlled substances present, if obtained or returned to a SEP. SEP employees, volunteers and participants must provide written verification (including a participant card or other documentation) to be granted limited immunity.

Syringe exchange programs in North Carolina are required to provide the following services:

  • Syringe disposal
  • Distribution of clean syringes and injection supplies at no cost and in sufficient quantities to prevent sharing or reusing
  • Site, personnel and equipment security, including annual written plans to police and/or sheriff’s departments within whose jurisdictions they operate
  • Education materials concerning:
    • Prevention of disease transmission, overdose and addiction
    • Treatment options, including medication-assisted therapy (MAT) and referrals
  • Naloxone (Narcan or Evzio) distribution and training, or referrals to these services
  • Consultations/referrals to mental health or substance use disorder (SUD) treatment

The law encourages syringe return to ensure that they are disposed in a safe and secure manner, but does not require participants to return used syringes.

Prior to commencing operations, NC SEPs are required to register with the NC Department of Public Health (DPH), by completing and submitting the form Starting a Syringe Exchange Program in NC to Each SEP is required to submit annual reports to DPH.

Treatment resources can be found through the Division of Mental Health, Developmental Disabilities and Substance Abuse Services. HIV and Hepatitis C testing and treatment resources can be found through the Communicable Disease Branch.

Please contact with any further questions.


Active Syringe Exchange Programs in North Carolina

The following syringe exchange programs are currently active in North Carolina. Please check back regularly for updates.

Carolina Treatment Center - Fayetteville
Amy Garner, Stephanie Dixon
(910) 864-8739,
3427 Melrose Rd. Fayetteville, NC 28304
Serving Cumberland County

HighLife 252 at Source Church
Fixed; mobile; peer-based
Frank Lassen, Rebekah Paulsen
(252) 473-1911, (252) 305-0781
318 Budleigh St. Manteo, NC 27954
Serving Dare County

NC Harm Reduction Coalition – Brunswick
Mobile; peer-based
Hyun Namkoong
(919) 218-4505
Serving Brunswick County

NC Harm Reduction Coalition – Durham
Mobile; peer-based
Loftin Wilson
(919) 370-0671
Serving Durham County

NC Harm Reduction Coalition – Haywood
Hyun Namkoong, Conner Adams
(919) 218-4505, (828) 215-5460
Serving Haywood County

NC Harm Reduction Coalition – Vance
Fixed; mobile; peer-based
Loftin Wilson
(919) 370-0671
511 Ruin Creek Rd. Suite 105 Henderson, NC (every Monday, 1 – 5pm)
Serving Vance County

NC Harm Reduction Coalition – Wake
Fixed; peer-based; integrated
Hyun Namkoong
(919) 218-4505
2101 Garner Rd. (Southlight parking lot) Raleigh, NC 27610
Serving Wake County

NC Harm Reduction Coalition – Wayne
Hyun Namkoong
(919) 218-4505
Serving Wayne County

NC Harm Reduction Coalition - Wilmington
Fixed; mobile; peer-based
Robert Childs
(336) 543-8050
3951 Market St. Building B, Wilmington, NC 28403
Serving New Hanover County

Olive Branch Ministry
Mobile; peer-based; integrated
Karen D. Lowe
(828) 217-9111
1152 Lenoir Rhyne Blvd. SE Hickory, NC 28602 / 101 N Center St. Hickory, NC 28601
Serving Catawba County

Orange County Health Department
Robin Gasparini
(919) 245-2403
300 West Tryon St. Hillsborough, NC 27278 / 2501 Homestead Rd. Chapel Hill, NC 27516
Serving Orange County

Piedmont Triad Harm Reduction Center
Urban Survivor’s Union Directly Impacted Community Activists, Organizers & Health Educators
NCHRC Syringe Exchange & Comprehensive Harm Reduction Services
Fixed (drop-in); mobile; peer-based
Louise Vincent, MPH
(336) 669-5543
1114 Grove St. Greensboro, NC 27403
Serving Guilford County

Radiant Church / Southeastern Syringe Exchange (SEA-EX)
Mobile; peer-based
Rev. James D. Sizemore
(910) 574-0329
Serving Cumberland, Harnett, Lee, Robeson, and Sampson Counties

The Steady Collective
Mobile; peer-based
Conner Adams, Peggy Weil
(800) 898-5801
610 Haywood Rd. Asheville, NC (every Tuesday, 1:30 – 4pm)
Call hotline for more locations or deliveries
Serving Buncombe County

Twin City Harm Reduction Collective
Fixed; mobile; peer-based
Colin Miller
(336) 988-1282
639 S. Green St. Winston Salem, NC 27101
Serving Forsyth County

Urban Survivors Union Queen City Needle Exchange
Catherine Nelson
(980) 213-9909
Serving Mecklenburg County

Western North Carolina AIDS Project
Fixed; mobile
Jeff Bachar
(828) 252-7489
554 Fairview Rd. Asheville, NC 28803
Serving Buncombe County

Western North Carolina AIDS Project & Full Circle Recovery Center
Jeff Bachar
(828) 252-7489
3261 Georgia Road Franklin, NC 28734
Serving Macon County

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