Exchange Central Syringe Service Program

Syringe Service Programs are community-based programs that provide key pathways to services to prevent drug use, HIV, and viral hepatitis. Those who inject drugs are at high risk of contracting HIV and Hepatitis C due to risky practices like sharing used syringes. The purpose of syringe service programs are to prevent the transmission of HIV and other blood-borne viruses, such as Hepatitis C, and to link injection drug users to vital prevention programs, medical care, and mental health services. Based on the HIV outbreak among people who inject drugs in Scott County, Indiana, 220 other counties were identified by the CDC who were at high risk of HIV and HCV outbreaks related to opioid injection. Out of the 220 counties in the U.S., 10 were in Michigan, and 2 of the 10 were in our district; the two counties identified were Clare and Roscommon. With this identified, a need was determined for a syringe service program in areas that Central Michigan District Health Department serve. Health Promotions recently started a program and named it Exchange Central, which is operated out of our Clare County branch office in Harrison.


Exchange Central offers a judgement free location for residents from ALL counties to receive clean syringes and works and dispose of used ones, free of charge. Participants of the program may receive syringe packets even if they don’t bring in used ones, but we encourage that they bring them in to be disposed of properly. We also have other resources available to participants utilizing Exchange Central.


During a visit to Exchange Central, participants also have access to:

  • HIV/STI Testing

  • Naloxone with Education

  • Vaccinations

  • Safe Sex Kits

  • Education

    • Safer Injection

    • HIV/STI’s

    • Vein Care

    • Viral Hepatitis

  • Referrals

    • Treatment

    • Mental Health Services

    • HIV/PrEP

    • Insurance


Brochures and Other Information





Currently, Exchange Central is open every 3rd Tuesday of the month from 9am-12pm and 1pm-4pm at the Clare County Branch Office, 815 N. Clare Ave, Harrison MI 48625. We are also open Tuesdays that we hold clinic, which can vary month to month. To find out exact dates and more information about the program you can reach Exchange Central at 989-773-5921 ext 1240 or e-mail at

Exchange Central Dates for 2020

Harrison Health Department Location:

  • Tuesday, January 21st

  • Tuesday, February 18th

  • Tuesday, March 17th

  • Tuesday, April 21st

  • Tuesday, May 19th

  • Tuesday, June 16th

  • Tuesday, July 21st

  • Tuesday, August 11th

  • Tuesday, September 15th

  • Tuesday, October 20th

  • Tuesday, November 17th

  • Tuesday, December 15th

Mt. Pleasant Health Department Location

  • Drop-in appointments available Mon-Fri 9:00am-4:00pm

**Other Health Department locations available by appointment by calling 989-773-5921 ext. 1240 or email at**

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(989) 773-5921

The mission of the Central Michigan District Health Department is to promote health & physical well-being by providing preventive health care, education, & environmental safety to all members of the community.

The vision of the Central Michigan District Health Department is to become recognized by the public as the local advocate in promoting, assessing and safeguarding public health and the environment.

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