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Climate change poses significant risks for cancer incidence, care delivery, and outcomes. Environmental exposures related to climate change, such as air pollution, particulate matter, and ultraviolet radiation, are associated with increased cancer incidence and cancer-specific mortality. 1, 2 The US health care industry is responsible for approximately 8.5% of the country’s greenhouse gas (GHG) emissions, which are partly attributable to cancer centers and associated with a loss of 388 000 disability-adjusted life-years annually. 3 Cancer centers and their patients are at particularly high risk from the impacts of climate change, with care at risk of disruption and high-risk communities experiencing disproportionate outcomes. 4, 5 As the climate shifts, it is imperative that cancer centers address and prepare for delivering high-quality, equitable care. Establishing emergency preparedness plans to provide care during …