Change Point

Harm Reduction Center

What is Change Point?

Change Point is a program of Northern Nevada HOPES and is Nevada’s first legal syringe services program. Change Point provides syringe services, harm reduction supplies, counseling, and free HIV and hepatitis C testing. Change Point embraces diversity and advocates for medically underserved groups in the community.


Have you come across an area in our community with littered syringes? Let our team at Change Point know by e-mailing them at and they will go to the area and safely dispose of the syringes.



CHANGE: Change Point Hours Calendar

In response to COVID-19 Change Point hours have changed to:
Monday – Friday 12 pm – 2 pm (hours may vary)

Change Point Services

Due to COVID-19, Change Point Services have been reduced. Please call Change Point if you have questions about testing and services. 

Change Point services are free and open to the community, and you do not need to be a HOPES patient to access Change Point services.

Syringe Services
  • Sterile syringes
  • Safe syringe disposal
  • Harm reduction supplies
  • Safer sex kits
Testing and Outreach
  • Free rapid HIV/Hep C testing
  • Special event testing
  • Overdose education
  • Support and peer groups
  • Street outreach
  • Free Naloxone distribution
Community Building
  • Volunteer opportunities
  • Coalition building
  • Human rights advocacy

STI Testing

Change Point offers Chlamydia, Gonnorhea, and Syphilis testing every Tuesday and Wednesday from 12 pm – 3 pm. Testing is provided on a first come, first serve basis. Tests can be covered by insurance or charged according to HOPES’ Sliding Fee Scale.

PrEP and PEP

At Change Point, you can get information about Pre-Exposure Prophylaxis (PrEP), a daily pill that can reduce your risk of HIV infection. You can also get a referral for a PrEP prescription.
You can also learn about Post-Exposure Prophylaxis (PEP), which can prevent HIV infection if taken within 72 hours of a possible exposure event.

What is Harm Reduction?

‘Harm Reduction’ is a philosophy and strategy that empowers individuals to reduce harm to themselves by 1) setting realistic goals and 2) validating any positive step or incremental change. Although Harm Reduction was initially implemented around drug use, it now has a wider range of applications, including sex, diet, health, and any aspect of self-care.

Contact Us

(775) 997-7519

580 W 5th Street
Eastern Entrance
Reno, NV 89503