Black Americans have long suffered the effects of racism in health care. The long history of medical mistreatment cultivated Black and African American mistrust in the medical system. Community Outreach through Athletics in Colleges and High Schools (COACHS), engages school-based athletic trainers to develop therapeutic alliances with underserved students and their families. Through consistent presence within the community, athletic trainers become trusted first contact care who can implement health promotion and screening activities.