ATTENTION HOPES Patients: HOPES operations for all locations will be closed on July 4, 2024 to observe the holiday.

 ATENCIÓN Pacientes de HOPES: Las operaciones de HOPES en todas las ubicaciones estarán cerradas el 4 de julio de 2024 para observar el feriado.

Change Point



Change Point is a Northern Nevada HOPES (HOPES) program that helps people make safer choices when it comes to substance use and sexual behavior, also called harm reduction. Our clinic offers many free resources and services, and all care provided is confidential and judgment-free. You don’t have to be a regular patient at HOPES to use Change Point services, you can just walk in during clinic hours. The Change Point van does mobile outreach in the community, including syringe services and rapid testing.


Change Point Services

Syringe Services

  • Sterile syringes
  • Safe syringe disposal
  • Harm reduction supplies


  • Free, rapid HIV/Hep C testing
  • Sexually transmitted infection testing (chlamydia, gonorrhea, and syphilis) by appointment

Support & Education

  • Free safer sex kits (condoms, lubrication, and dental dams)
  • Overdose education
  • Support and peer groups
  • Street outreach
  • Free naloxone, Narcan, and fentanyl test strips
  • PrEP and PEP for HIV prevention


Sexual Health Services

Monday: 3:00 pm – 5:00 pm (Rapid HIV and Hep C testing only)

Tuesday: 8:30 am – 11:00 am (Rapid HIV and Hep C Testing only), 3:00 pm – 6:00 pm (STI, PrEP, and PEP services)

Wednesday: 3:00 pm – 6:00 pm (STI, PrEP, and PEP services)

Thursday: 8:30 am – 11:00 am (Rapid HIV and Hep C testing only), 3:00 pm – 6:00 pm (STI, PrEP, and PEP services)

Friday: CLOSED

Note: If you need to get tested outside of our regular hours, please contact the HOPES clinic at 775-786-4673 or our friends at Northern Nevada Public Health.

Syringe Exchange

*5th Street Location Only

Monday: 12:00 pm – 2:00 pm

Wednesday: 12:00 pm – 2:00 pm

Friday: CLOSED

*4th Street Location Only

Tuesday: 12:00 pm – 2:00 pm

Thursday: 12:00 pm – 2:00 pm

syringe exchange

Syringe exchange saves lives

It helps save lives. 70% of people who inject drugs contract hepatitis C from shared syringes and about 10% acquire HIV. Syringe Service Programs (SSPs) are scientifically proven to significantly reduce the transmission of infectious diseases.

It increases access to care. SSPs serve as a bridge for individuals needing medical care and drug treatment services. And numerous studies have shown that SSPs do not increase injection drug use. 

It saves money. Caring for a person living with Hepatitis C can cost close to $100,000, and up to $600,000 for someone living with HIV. 

It makes our community safer. SSPs provide safety to first responders and protect children and adults from encountering used syringes in parks and other public spaces.

Paying for care

HOPES takes most insurance plans, Medicaid, and Medicare. HOPES also cares for uninsured patients. If you don’t have insurance, we use a sliding fee scale which adjusts cost based on what you can afford to pay. Our team meets with all new patients to make sure they can get the care they need. Hep C/HIV rapid tests are always free.

HOPES team member assisting with patient intake

HIV Testing

Know your status! This video shows what it is like to get a free, rapid HIV test at Northern Nevada HOPES. HIV screenings at HOPES are confidential, and free, and you get results in less than 30 minutes.

PrEP and PEP Services

HOPES offers PrEP and PEP services to prevent HIV infection through our Change Point clinic. See Our HIV Care page for more information on PrEP and PEP.