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Couple's Portrait

Trans* Syringe Exchange Program

Do You or a Loved One Identify as Transgender? Need access to safe injection supplies?

We are here to help.

Harm Reduction

What is the Trans Syringe Exchange Program?

The Trans Syringe Exchange Program (TSEP) is a free and confidential program that provides transgender people access to needles, syringes, and safe injection supplies. When the need for HIV and Hepatitis C testing for transgender people is high, we have partnered with Health Brigade to offer free syringes and other important supplies to the Hampton Roads transgender community!

The Trans Syringe Exchange Program aims to provide harm reduction services to trans* individuals who are at-risk of stopping their hormones, inconsistently taking their hormones, or acquiring an infection or HIV due to reusing needles.

Safe Injection Kits (SIKs)

We offer a safer, more affordable means of self-injecting hormones. You can receive a free "Safe Injection Kit" or SIK. Choose between intramuscular (IM) and subcutaneous (SubQ) needles. Never reuse needles again!

Drug and Syringe

Draw Needles

Needles used for drawing hormones. Draw Needles are 18G x1 1/2" 


Alcohol Pads

Free alcohol pads with every kit! A few extra just in case!


Injection Needles

Needles used for injection hormones. Intramuscular and subcutaneous needles available. Sizes included: IM (23G and 25G) Sub Q (25G)

First Aid


*Band-Aids are available upon request!


Sharps Container

Yellow personal disposable 250 ml sharps container. 


Educational Materials

Information about Health Brigade's Need Exchange Program, legal rights, and resources. 

Who is eligible?

In order to qualify for this program, you must be 18 years of age or older, have a Virginia address, and identify as transgender or a person of transgender experience.

How long does it take to get help?

Orders can be placed for pick up within 24-48 hours or for shipping or delivery. Please allow approximately 3-7 business days for delivery or shipping.

How can I learn more about Health Brigade?

Health Brigade’s Needle Exchange program is protected by Virginia’s Comprehensive Harm Reduction legislation and the Virginia Department of Health. The program strives to address the stigma surrounding injection drug use, educate users of safe injection materials, and provide resources for those interested in change.

Questions or concerns about Health Brigade? Contact Colin or Dziko at (804) 358-6140 or via email at or

A simple logo for Health Brigade

How Can I Sign Up?

You can place an order for a 1 or 3 months safe injection kit for pick up, delivery, or shipping. Free delivery and pick up until June 1st, 2023. Please direct any questions or concerns to

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