• Academy of Perinatal Harm Reduction

    Please download and read The Pregnancy and Substance Use: Harm Reduction Toolkit

    Learn about substance use and its effects, so you can make informed decisions during pregnancy and lactation. 

    https://www.perinatalharmreduction.org/

  • Swedish OB Outreach Clinic

    206-320-2484

    550 16th Ave Suite 100, Seattle

    Tuesdays 1-4pm

    This clinic specifically serves pregnant people who use substances

    https://www.swedish.org/locations/cherry-hill-campus/family-medicine-cherry-hill


    Harborview Sexual Health Clinic

    https://www.uwmedicine.org/locations/sexual-health-clinic-harborview

    Downtown Public Health

    Provides a needle exchange and a suboxone program. 

    https://kingcounty.gov/depts/health/locations/downtown.aspx

    Planned Parenthood

    https://www.plannedparenthood.org/health-center/wa


    Mobile Medical Van

    Moves to a different location various days of the week.

    https://kingcounty.gov/depts/health/locations/homeless-health/mobile-medical-care.aspx

    SHE Clinic at Aurora Commons

    206-702-8460

    8914 Aurora Ave N, Seattle

    Mon & Tues 10a-1p

    Wed & Thurs 11a-2p

    Contraception, testing, prenatal care, and referrals to treatment and housing.

    https://www.auroracommons.org/she-clinic

    Clinics that accept Medicaid

    Click HERE for a list of clinics outside of Seattle, including South King County

  • WithinReach Family Health Hotline

    1-800-322-2588

    They are able to assist with resources in your county such as applying for health insurance (Medicaid), food stamps, and WIC. 

    https://parenthelp123.org/

    CHAP (Community Health Access Program)

    1-800-756-5437

    If you need help finding affordable:

    • Health care or insurance

    • Health screening services

    • Doctors, dentists, midwives or nurses

    • Medical and dental clinics with sliding fees

    • Support services & pregnancy tests

    • Prenatal care

    https://kingcounty.gov/depts/health/locations/health-insurance/access-and-outreach/community-health-access-program.aspx

    Swedish OB Outreach Clinic

    206-320-2484

    550 16th Ave Suite 100, Seattle 

    Tuesdays 1-4pm

    This clinic specifically serves pregnant people who use substances.

    https://www.swedish.org/locations/cherry-hill-campus/family-medicine-cherry-hill

    Carolyn Downs Family Medical Center

    206-299-1900

    2101 East Yesler Way, Seattle

    Provides Maternity Support Services (MSS) and Infant Case Management (ICM) services.

    https://countrydoctor.org/services/prenatal-care/

    Family Medicine Clinic at Harborview

    206-744-6545

    401 Broadway, Suite 2075, Seattle

    We recommended Dr. Ying Zhang

    https://www.uwmedicine.org/locations/family-medicine-harborview

    International Community Health Services Holly Park

    206-788-3500

    3815 Othello Street, Seattle

    Provides Maternity Support Services (MSS) and Infant Case Management (ICM) services

    https://www.ichs.com/?p=775

    International Community Health Services Shoreline

    206-533-2688

    16549 Aurora Avenue North, Shoreline 

    Provides MSS and ICM services in the office, home, and alternate locations

    https://www.ichs.com/shoreline/

  • These clinics provide Suboxone/Subutex for pregnant people. Both accept walks in without an appointment. They may have video appointments available due to COVID

    Downtown Seattle Public Health Center

    206-458-8798

    Monday-Friday 9am-5pm

    2124 4th Ave, Seattle

    They treat adults with Opioid Use Disorder in their low barrier buprenorphine clinic, with fewer rules than traditional bupe care settings. They offer scheduled or walk-in appointments for established patients. They also provide prenatal care for pregnant people. Walk-ins welcome. 

    https://kingcounty.gov/en/dept/dph/health-safety/health-centers-programs-services/public-health-centers/downtown-seattle

    Swedish OB Outreach Clinic

    206-320-2484

    550 16th Ave Suite 100, Seattle

    Tuesdays 1-4pm

    This clinic specifically serves pregnant people who use substances

    https://www.swedish.org/locations/cherry-hill-campus/family-medicine-cherry-hill

    We Care Daily Clinics

    Perinatal support for pregnant individuals with opioid use. 

    https://www.wecaredailyclinics.com/our-services/perinatal-pre-registration-form/


    Inpatient Treatment:

    Substance Using Pregnant People Program “SUPP” - Ballard Campus

    206-781-6209

    26 day inpatient treatment program for pregnant people

    https://www.swedish.org/locations/ballard-campus/treatment-for-pregnant-or-postpartum-women

    Evergreen Recovery Centers

    425-322-0875

    Long term residential treatment (with infant or child) in Everett, WA

    https://evergreenrc.org/pregnant-and-parenting-womens-residential-treatment/

    START Clinic at East Pierce Family Medicine (in Puyallup)

    253-697-2450

    1322 3rd St. SE, Suite 240 Puyallup

    OB Appointments and Referrals: 253-697-1414

    https://www.multicare.org/location/multicare-start-clinic/

    Isabella House

    509- 624-1244

    2308 W. 3rd Avenue, Spokane

    Long term residential treatment (with infant or child) located in Spokane, WA

    https://www.nhccspokane.org/isabella-house

  • Planned Parenthood

    Average cost: Sliding scale depending on income level (free for Medicaid)

    https://www.plannedparenthood.org/health-center/wa

    Cedar River Clinics

    800-572-4223

    Abortion Care, Birth Control, Free Pregnancy Tests, Well Women and LGBTQ Care

    Clinics in Seattle, Tacoma, and Renton. Online appointments available. 

    https://www.cedarriverclinics.org/

    Northwest Abortion Access Fund

    866-692-2310

    Find abortion clinics and information for paying for abortion, including financial assistance and travel support.

    https://nwaafund.org/

    Plan C

    Find how to access at-home abortion pills online.

    https://www.plancpills.org/

    Miscarriage + Abortion Hotline

    1-833-246-2632

    Pro-choice doctors with years of experience in caring for miscarriage and abortion. 

    Reach us by phone or text and we can give expert advice on self-managing your miscarriage or abortion. We are available 10AM to 10PM in all continental US time zones, and will respond within an hour. We will not ask your name or any personal details or health identifiers.

    Our texts and phones are confidential, private, and secure.

    https://www.mahotline.org/

    All-Options Talkline

    1-888-493-0092

    If you are pregnant and unsure how to feel or what to do next, or you want to talk about a past or current experience with abortion, adoption, parenting, infertility or pregnancy loss, you’ve found the right place. Call our All-Options Talkline at 1-888-493-0092 from anywhere in the United States or Canada!

    https://www.all-options.org/find-support/talkline/

  • Open Adoption and Family Services

    1-800-772-1115

    Para Español 1-800-985-6763

    Provides counseling, planning, and options to meet and choose the adoptive family.

    https://www.openadopt.org/

  • What is a doula? Click here for a cute video about what doulas are and how they can help :)

    Harm Reduction Doulas

    We can help you access treatment, baby supplies, housing case management, and more.

    We provide free doula support for pregnant people who use drugs and pregnant people experiencing homelessness. We will support you regardless of your pregnancy outcome (for example, abortion/miscarriage, adoption, or parenting).

    https://tinyurl.com/HRDCrequest

    The following doula services are listed for accessibility - not all doulas may have experience with substance use or harm reduction practices. Many doulas can provide physical and emotional support throughout the perinatal experience. This may include some of the following: birth, postpartum, abortion, miscarriage, and bereavement. Some doula services are for specific communities, races, or ethnicities. Please call or visit their website to learn more. 

    Open Arms Perinatal Services

    Provides birth and postpartum doula services free of cost for birthing people living within King, Pierce, and Snohomish Counties. Open Arms also provides community based outreach services to the following communities: African American, Latinx, Native (American Indian/Alaskan Native) and Somali. 

    https://openarmsps.org/get-care/

    Hummingbird Indigenous Family Services

    Hummingbird Indigenous BirthKeepers is a culturally responsive, full spectrum, Indigenous doula program providing free-of-cost services to pregnant people who identify as American Indian/Alaska Native/Native Hawaiian/Pacific Islander (AI/AN/NH/PI) living in King County.

    https://www.hummingbird-ifs.org/programs/hummingbird-indigenous-birthkeepers

    Swedish Birth and Postpartum Doulas (for those attending a birth at a Swedish facility)

    Swedish Black Birth Empowerment Initiative (BBEI)

    Swedish is able to provide free doula support to a limited number of low income birthing people each month. Active enrollment in Medicaid/Molina/Apple Health is required to be eligible. Please visit the website to apply. 

    https://www.swedish.org/services/doula-services

    Additional Access:

    Doula Match

    This website can help you find a doula, and you can select a doula who has experience working with families with substance use. Most doulas charge a rate for services, but check to see if they offer sliding scale or pro-bono if financial hardship is a barrier to care.

    www.doulamatch.net