This guidance document outlines a three-tiered approach to establishing a local climate change environmental public health tracking program- placing emphasis on opportunities to partner with external resources at the local, state, and federal levels. Tier 1 is establishing indicators, Tier 2 is conducting vulnerability assessments, while Tier 3 is predicting future impacts. This document is not designed to establish the links between climate change and human health or to provide guidance about how to launch a climate and health program. Furthermore it does not offer specific technical information about how to conduct geospatial analysis or downscaled climate modeling. Instead it is designed to assist LHDs in making use of existing climate change EPHI frameworks using current capacity. For readers who are interested in delving into greater detail, links to more specific information are included throughout the document.