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ATs uphold patient welfare, safety, and legal/ethical duties. While confidentiality is fundamental, it is not absolute—especially when there is risk of harm. The AT should communicate transparently: explain limits of confidentiality, obtain consent when possible, and facilitate prompt referral to qualified providers (e.g., team physician, RDN, mental health professional). Coordinated care via established EAT/REDs pathways enables medical evaluation (vitals, ECG if indicated), labs, and nutrition/psychologic support. Option A breaches standards by promising secrecy that may impede care. Option B abandons the athlete to self-management despite potential health risks (cardiac, bone, performance). Option D may damage trust and is not patient-centered; the coach’s need-to-know should be determined by the medical team and with athlete consent where appropriate. Documentation should capture findings, the conversation, referrals, and follow-up plans, adhering to privacy regulations and institutional policies.