This guide is intended to help communities in Michigan and across the Great Lakes Region develop a climate and health adaptation plan or to integrate climate and health concepts into existing initiatives. As communities are unique in their makeup, systems, and needs, this guide was developed to be accessible and flexible for the unique situations of urban, suburban, and rural communities. With that in mind, a set of core principles establishes a foundation from which each community can build. The core principles from which each community can build their climate and health adaptation plan include: Centering on health and equity; Engaging diverse partners reflective of the community, especially vulnerable and marginalized populations, along with technical stakeholders and decision makers; Incorporating locally relevant climate and health data in decision making; andEstablishing a shared vision for what successful climate adaptation means to the community. A clear understanding of the impacts on all sectors and subgroups is required in order to prepare for and respond to climate-related health impacts in an equitable manner. Working across sectors to build adaptive capacity is crucial for taking meaningful actions. This guide utilizes four planning phases: Engage stakeholders and identify concerns; Engage community and develop the plan; Prioritize and implement; and Monitor, update, and keep active. There is also an extensive section on developing visual aids to create buy-in and establish the communitys vision for adaptation in a local context. Within each phase there are detailed sub-steps with checklists and resources that can be used to facilitate and document progress.