diff --git a/src/app/insights/medications/page.tsx b/src/app/insights/medications/page.tsx
index e80f5133e..e95c6a306 100644
--- a/src/app/insights/medications/page.tsx
+++ b/src/app/insights/medications/page.tsx
@@ -295,6 +295,11 @@ export default function InsightsMedikamentePage() {
         text={status?.summary ?? null}
         hasProvider={status?.hasProvider ?? false}
         updatedAt={status?.updatedAt ?? null}
+        coachQuestion={t("insights.coach.assessmentPrompt", {
+          metric: t("insights.medicationCompliance"),
+        })}
+        coachScope={{ metric: "compliance" }}
+        coachAutoSend
         loading={isStatusLoading}
         preparing={status?.preparing ?? false}
       />
diff --git a/src/components/insights/ask-coach-action.tsx b/src/components/insights/ask-coach-action.tsx
index ffc97490d..08aa56d33 100644
--- a/src/components/insights/ask-coach-action.tsx
+++ b/src/components/insights/ask-coach-action.tsx
@@ -3,6 +3,12 @@
 import { Sparkles } from "lucide-react";
 
 import { Button } from "@/components/ui/button";
+import {
+  Tooltip,
+  TooltipContent,
+  TooltipProvider,
+  TooltipTrigger,
+} from "@/components/ui/tooltip";
 import { cn } from "@/lib/utils";
 import { useTranslations } from "@/lib/i18n/context";
 import {
@@ -96,3 +102,59 @@ export function AskCoachAction({
     </Button>
   );
 }
+
+/**
+ * v1.25 — icon-only Coach hand-off pinned to the TOP-RIGHT of an assessment
+ * card header. Same launch + gating contract as `<AskCoachAction>`, but no
+ * visible text label: the affordance is a single ghost icon button with an
+ * accessible name and a tooltip carrying the same copy (a11y — an icon button
+ * must announce its purpose).
+ *
+ * Self-gates on the same triple every Coach entry point uses (provider mounted
+ * in the tree + operator flag + per-user opt-out), so the card never paints a
+ * dead control. The assessment card only mounts it on the populated branch,
+ * where the provider is known good — the "no advertised-but-broken control"
+ * rule holds end-to-end.
+ */
+export function AskCoachIconButton({
+  question,
+  scope,
+  autoSend,
+  label,
+  className,
+}: AskCoachActionProps) {
+  const { t } = useTranslations();
+  const launch = useCoachLaunch();
+  const flags = useFeatureFlags();
+  const disableCoach = useDisableCoach();
+
+  if (!launch) return null;
+  if (!flags.coach) return null;
+  if (disableCoach) return null;
+
+  const accessibleLabel = label ?? t("insights.coach.askAboutThis");
+
+  return (
+    <TooltipProvider>
+      <Tooltip>
+        <TooltipTrigger asChild>
+          <Button
+            type="button"
+            variant="ghost"
+            size="icon"
+            data-slot="ask-coach-icon"
+            aria-label={accessibleLabel}
+            onClick={() => launch.askCoach(question, scope, autoSend)}
+            className={cn(
+              "text-muted-foreground hover:text-foreground size-8",
+              className,
+            )}
+          >
+            <Sparkles className="size-4" aria-hidden="true" />
+          </Button>
+        </TooltipTrigger>
+        <TooltipContent>{accessibleLabel}</TooltipContent>
+      </Tooltip>
+    </TooltipProvider>
+  );
+}
diff --git a/src/components/insights/insight-status-card.tsx b/src/components/insights/insight-status-card.tsx
index 03eeca56e..d3793e74e 100644
--- a/src/components/insights/insight-status-card.tsx
+++ b/src/components/insights/insight-status-card.tsx
@@ -13,7 +13,7 @@ import { ProseBlocks } from "@/components/insights/prose-blocks";
 import { cn } from "@/lib/utils";
 import { useAuth } from "@/hooks/use-auth";
 import { useFeatureFlags } from "@/hooks/use-feature-flags";
-import { AskCoachAction } from "@/components/insights/ask-coach-action";
+import { AskCoachIconButton } from "@/components/insights/ask-coach-action";
 import type { CoachLaunchScope } from "@/lib/insights/coach-launch-context";
 
 // ─── Types ────────────────────────────────────────────────
@@ -236,8 +236,25 @@ export function InsightStatusCard({
         {/* v1.11.5 — the top-right "cached" label was removed: it surfaced
             an implementation detail and devalued the assessment. The card
             still consumes the warm cache; it just no longer announces it.
-            v1.12.6 — the icon + title row is the canonical `<TileHeader>`. */}
-        <TileHeader icon={nodeIcon(icon)} title={title} />
+            v1.12.6 — the icon + title row is the canonical `<TileHeader>`.
+            v1.25 — the Coach hand-off lives in the header's right slot as a
+            single icon button (no text label, tooltip + accessible name),
+            shared across every assessment card. Rendered only when the
+            caller supplied an opener; the button self-gates on the Coach
+            triple, so it never paints a dead control. */}
+        <TileHeader
+          icon={nodeIcon(icon)}
+          title={title}
+          right={
+            coachQuestion ? (
+              <AskCoachIconButton
+                question={coachQuestion}
+                scope={coachScope}
+                autoSend={coachAutoSend}
+              />
+            ) : undefined
+          }
+        />
       </CardHeader>
       <CardContent className="space-y-2">
         {/* v1.4.27 — defence-in-depth strip. Cached status text from
@@ -249,18 +266,6 @@ export function InsightStatusCard({
             they roll forward. */}
         <StatusBody text={stripChartTokens(text)} />
         <LastUpdatedFooter updatedAt={updatedAt} />
-        {/* v1.21.0 (C4 H2) — discreet hand-off so the user can take the
-            assessment into a scoped Coach conversation. Only when the
-            caller supplied an opener. */}
-        {coachQuestion ? (
-          <div className="flex justify-end">
-            <AskCoachAction
-              question={coachQuestion}
-              scope={coachScope}
-              autoSend={coachAutoSend}
-            />
-          </div>
-        ) : null}
       </CardContent>
     </Card>
   );
diff --git a/src/components/insights/metric-status-card.tsx b/src/components/insights/metric-status-card.tsx
index 524401a96..7a6a30956 100644
--- a/src/components/insights/metric-status-card.tsx
+++ b/src/components/insights/metric-status-card.tsx
@@ -7,7 +7,10 @@ import { useMounted } from "@/hooks/use-mounted";
 import { useTranslations } from "@/lib/i18n/context";
 import type { MetricStatusMetricId } from "@/lib/insights/metric-status-registry";
 import { InsightStatusCard } from "@/components/insights/insight-status-card";
-import { scopeSourceFromMetricKey } from "@/components/insights/coach-metric-scope";
+import {
+  scopeSourceFromMetricKey,
+  scopeSourceMetricLabelKey,
+} from "@/components/insights/coach-metric-scope";
 
 interface MetricStatusCardProps {
   /** The registry metric id the generic assessment route keys on. */
@@ -46,8 +49,14 @@ export function MetricStatusCard({
   // carry a snapshot block. Unmapped metrics still get a metric-named
   // opener, just against the default snapshot.
   const coachSource = scopeSourceFromMetricKey(metric);
+  // Prefer the EXISTING localised measurement-name key for the auto-sent
+  // preset so the opener reads in the user's language; fall back to the
+  // humanised token only for metrics without a localised name.
+  const coachLabelKey = scopeSourceMetricLabelKey(coachSource);
   const coachQuestion = t("insights.coach.assessmentPrompt", {
-    metric: metric.toLowerCase().replace(/_/g, " "),
+    metric: coachLabelKey
+      ? t(coachLabelKey)
+      : metric.toLowerCase().replace(/_/g, " "),
   });
 
   return (
diff --git a/src/components/insights/slug-insight-status-card.tsx b/src/components/insights/slug-insight-status-card.tsx
index a0d30de28..d73bd2080 100644
--- a/src/components/insights/slug-insight-status-card.tsx
+++ b/src/components/insights/slug-insight-status-card.tsx
@@ -9,6 +9,7 @@ import {
 import { useMounted } from "@/hooks/use-mounted";
 import { useTranslations } from "@/lib/i18n/context";
 import { InsightStatusCard } from "@/components/insights/insight-status-card";
+import type { CoachScopeSource } from "@/lib/ai/coach/types";
 
 interface SlugInsightStatusCardProps {
   /** The bespoke metric slug the `/api/insights/<slug>-status` route keys on. */
@@ -17,6 +18,31 @@ interface SlugInsightStatusCardProps {
   icon: ReactNode;
 }
 
+/**
+ * v1.25 — each bespoke slug maps to the Coach snapshot source it narrows the
+ * hand-off to, plus the EXISTING localised metric-name key the auto-sent
+ * preset interpolates. Resolving the label through `t()` keeps the opener in
+ * the user's language (never a raw enum token), shared with the icon-only
+ * Coach affordance the assessment card renders.
+ */
+const SLUG_COACH: Record<
+  InsightStatusMetric,
+  { source: CoachScopeSource; labelKey: string }
+> = {
+  "blood-pressure": {
+    source: "bp",
+    labelKey: "measurements.typeBloodPressure",
+  },
+  weight: { source: "weight", labelKey: "measurements.typeWeight" },
+  pulse: { source: "pulse", labelKey: "measurements.typePulse" },
+  bmi: { source: "bmi", labelKey: "measurements.typeBodyMassIndex" },
+  mood: { source: "mood", labelKey: "insights.moodSectionTitle" },
+  "medication-compliance": {
+    source: "compliance",
+    labelKey: "insights.medicationCompliance",
+  },
+};
+
 /**
  * Shared mount for the bespoke per-metric assessment card.
  *
@@ -36,6 +62,8 @@ export function SlugInsightStatusCard({
   const mounted = useMounted();
   const { data: status, isLoading } = useInsightStatus(slug);
 
+  const coach = SLUG_COACH[slug];
+
   return (
     <InsightStatusCard
       title={t("insights.assessmentTitle")}
@@ -43,6 +71,11 @@ export function SlugInsightStatusCard({
       text={status?.text ?? null}
       hasProvider={status?.hasProvider ?? false}
       updatedAt={status?.updatedAt ?? null}
+      coachQuestion={t("insights.coach.assessmentPrompt", {
+        metric: t(coach.labelKey),
+      })}
+      coachScope={{ metric: coach.source }}
+      coachAutoSend
       // `!mounted ||` keeps the SSR pass and the hydration render on the
       // same skeleton branch. The status query is `enabled: isAuthenticated`,
       // and the auth query resolves from the early-hydrating shell — a