To help address the need for climate preparedness among public health agencies, this manual provides a variety of tools and resources that can be implemented with different levels of capacity and different levels of financial commitment (e.g. incorporation of preparedness strategies into existing programs with no or limited additional expenses to new initiatives that must be budgeted for and require the appointment of new staff). Through proactive initiatives, this manual intends to provide opportunities for cost savings by reducing future risks or impacts that may have been more severe had action not been taken. While this manual is directed towards state and county health departments as well as community based health organizations, the majority of the materials and resources can be useful for any health practice or facility. With specific action and resources identified in each chapter, this manual can be used as a stand-alone guide for climate preparedness. However, it is most effectively used to accompany in-person and online training workshops. Interaction with other agencies and organizations through the trainings increase an organizations opportunity to share lessons-learned, develop more innovative action plans for climate preparedness, and build an understanding of detailed information and strategies to address each of the topic areas accounting for the needs, capacity and financial resources of the agency.