The purpose of this guidance document is to help local health departments (LHDs) leverage existing resources, such as existing climate change indicators, to take the lead in activities that are directly impacted by the changing climate, such as hazard mitigation planning and response. Many of the data sets used in these resources aggregate data to a scale that is too large to identify local vulnerabilities or inform local policies. While it is preferable to develop local indicators using national, peer-reviewed datasets, it may be necessary to replace the data suggested by indicator with a local source such as data collected through the epidemiology department, a partner agency, or a local university. In some cases, it may even be necessary to collect new data sets. Local data sets can be costly to access and convert into environmental public health indicators. This guidance document outlines a three-tiered approach to establishing a local climate change environmental public health tracking (EPHT) program placing emphasis on opportunities to partner with external resources at the local, state, and federal levels. It also explains how climate and health tracking programs can support LHDs efforts to provide the 10 Essential Services of Public Health and to achieve accreditation.