Street Health Clinics


March 14 2018: Purple Heroin Alert: Public Health Services has received multiple reports of overdoses attributed to “Purple Heroin”, a highly toxic fentanyl laced heroin, circulating in the community. This serves as an important reminder to the community that street drugs continue to be cut (mixed) with substances such as fentanyl.

There is no easy way to know what is in your drugs. You can't see it, smell it or taste it. Substances such as fentanyl and carfentanil can be cut (mixed) with other drugs. Even a very small amount can cause an overdose.

September 2017: Public Health Services has received reports of fentanyl laced methamphetamine circulating in the community. This serves as an important reminder to the community that street drugs can be cut (mixed) with substances such as fentanyl.

March 2017: Public Health Services has been notified of reports of a drug called “takeover” or "dirty fentanyl" which is crack laced with fentanyl. Reports are that this drug is causing an immediate and dangerous loss of consciousness. 

December 2016: Be aware that street drugs in Hamilton may contain a deadly opioid drug carfentanil. It is 100 times more toxic than fentanyl and is hidden in other drugs. It will cause more overdoses and deaths.

An opioid overdose is a medical emergency. Prevent opioid overdose death and save lives using the 4 C’s of safety:

  • Careful Use - Don’t use alone, go slow by testing the effect with small amounts first.
  • Carry naloxone - Get a FREE naloxone kit, and training at the following locations:
    • City of Hamilton Public Health Services Harm Reduction program: 905-546-4276.
    • Participating local pharmacies by calling the Drug and Alcohol Helpline: 1-800-565-8603.
  • Call 9-1-1 for every overdose. You, your friend or family member needs hospital care to survive.
  • CPR. Push Hard, Push Fast.

Street Health Clinics provide many services such as testing for sexually transmitted infections, needle syringe and harm reduction supplies and overdose prevention kits.  Street Health Clinics are for:

Street Health Clinics hours and locations

Hours and locations of Street Health Clinics are below.  

Street Health Clinic at the Wesley Centre
195 Ferguson Avenue North, 2nd Floor, Hamilton

Monday 9 am to 1 pm
Wednesday 9 am to 1 pm
Friday 9 am to 1 pm

Notre Dame House
14 Cannon Street West, Hamilton

Tuesday 3:30 to 5:30 pm

Clinic services available for street involved youth 16 to 21 years of age

How to access the Street Health Clinics

No appointment is needed to come to the Street Health Clinics; just show up at one of the clinics when they are open.

  • You need to be at the clinic at least 15 minutes before the clinic closes to see a public health nurse that day.
  • You do not need a health card to come to the clinic

Public health nurses provide services at the Street Health Clinic.  Services include:


  • Needle exchange and harm reduction supplies such as alcohol swabs, sterile water, ascorbic acid, filters, cookers, sharps containers for safe disposal of used needles and safe injecting information.  Supplies are not available to diabetics.
  • Naloxone (Narcan) overdose prevention kits.  
  • Anonymous and nominal HIV testing. You can choose to use your name (nominal) for an HIV test or you can get a code number and have anonymous testing.  You can either have an HIV blood test where you get results back in two weeks or Rapid HIV testing.
  • Rapid HIV testing, also known as Point of Care.  We take a finger prick blood sample and your results are ready in just a few minutes.   
  • Testing for sexually transmitted infections including chlamydia, gonorrhea, syphilis and hepatitis. Physical exams for sexually transmitted infections are not available.  Do not urinate for two hours before your clinic visit. Testing involves collecting urine and/or blood. We cannot give test results over the phone; you must return to the clinic in two weeks for results. 
  • Free treatment for chlamydia and gonorrhea. If you have symptoms of these infections or you know your partner has chlamydia or gonorrhea, you can get treatment before test results are confirmed.
  • Free hepatitis A and B and tetanus vaccines.  Vaccines are not available at Notre Dame.
  • Free urine pregnancy testing and counselling.
  • Free Emergency contraceptive pill, also known as ECP, the Morning After Pill and Plan B.  You can take ECP up to five days after unprotected sex. 
  • Free condoms.
  • Addictions Counselling on Tuesday 5 to 8 pm at Hamilton Urban Core Community Health Centre and Thursday 9 am to 12 pm at Wesley Street Health Clinic.

Other services at the Wesley Street Health Clinic include drop-in doctor, nurse practitioner and foot doctor clinics.  You may require an Ontario Health Card to access these services.