Skagit County Public Health’s Mobile Syringe Exchange program aims to reduce health risks among adult drug users and the community at large. The program offers one-for-one needle exchange, which helps prevent the transmission of blood-borne diseases, such as HIV and Hepatitis C, and reduces the number of contaminated needles in our community and the public waste system. In addition to sterile syringes, the program hands out safe disposal containers and naloxone kits, and provides education, intervention, and referrals to behavioral health services, including treatment for substance use disorders.

The mobile van can be found in multiple locations throughout Skagit County:
| Mount Vernon | |
| Tuesday: 9AM-12PM | Coastal Farm & Ranch Parking Lot, 2021 Market Street |
| Thursday: 2PM-4PM | Senior Center, 1401 Cleveland Street |
| Sedro Woolley | |
| Tuesday: 1PM-4PM | United General Hospital, 2000 Hospital Drive |
| Thursday: 9AM-11AM | Senior Center, 715 Pacific Avenue |
| Burlington | |
| Thursday: 12PM-1:30PM | Tierra Nueva, 701 E. Fairhaven Avenue |
| Concrete | |
| 1st and 3rd Monday: 1PM-3PM | Senior Center, 45821 Railroad Avenue |
| Anacortes | |
| 3rd Monday: 10AM-11:30AM | Salvation Army, 3001 P Avenue |
| Marblemount | |
| 1st Monday: Call Randall for time and site | 360-826-2661 |