Bus lines: 1, 7 & 48
Metro trip planner

Tues, Wed, Thurs: 1-5pm
(last new patient visit 3:30pm, last follow up visit 4:30pm).

No appointments required (walk-in basis).

(206) 732-0311

The Seattle STEP Clinic

The Seattle STEP Clinic is a collaboration between the Hepatitis Education Project (harm reduction), and Carolyn Downs and Country Doctor (CDCHC). The Seattle STEP Clinic is a low-barrier, harm-reduction clinic that provides a variety of medical and social services with a non-judgmental, patient-centered approach.


Walk-in treatment available! In-person or telehealth appointments.


  • Prescriptions for buprenorphine (Suboxone) or naltrexone (Vivitrol) (medications for opioid-use disorder)
  • Basic medical care such as treatment of skin infections and urinary tract infections
  • Obtaining contraception
  • Mental health and substance use disorder counseling
  • Infectious disease testing — Hepatitis C
  • Vaccinations for Hepatitis A and B
  • Syringe service program
  • Opioid overdose reversal medications, injectable naloxone and naloxone nasal spray (Narcan)
  • Medical case management for people living with Hepatitis C

If you do not have insurance, we can help you enroll in Apple Health!


What does low barrier mean?

  • Appointment times are scheduled but flexible; new patients can walk in without calling in advance.
  • Prescriptions for buprenorphine are generally provided on the first day.
  • Substance use and behavioral health counseling are offered but not required in order to obtain medication.
  • Urine drug tests showing the use of drugs/substances are not used to deny patients prescriptions.
  • Patients are never discharged from the program for missing an appointment.

What does a patient need to do to see a medical provider?

At the first intake appointment (available Tuesday through Thursday 1:00 – 3:30 pm), patients will complete a 60-90 minute new patient intake. They will also meet with a patient care navigator for a program introduction and meet with a nurse and provider.

Do I need to participate in all of the services available or can I just get a medication?

No. All services are optional.

Do I have to have hepatitis to be seen in this clinic?

No. Anyone may access our services.

What are your hours?

Tuesday, Wednesday and Thursday 1:00 – 5:00 pm. No appointments are required (walk-ins are welcome). Please note that 3:30 is latest time available for new patient visits. 4:30 is the latest time for follow-up visits.