Osteopathic consultation report: template and outline to download
The course of an osteopathic consultation (clinical history, clinical examination, diagnosis, treatment, verification), the structure of the consultation sheet, and an outline to download.
Countries covered : France
As a primary care practitioner, the osteopath structures their consultation into several stages and maintains a patient file. A clear consultation sheet secures follow-up from one session to another and potential referral to a physician.
The framework to know
What an osteopath can and cannot do
The Decree No. 2007-435 sets limits specific to the profession, which are still in force. They target manipulations, not gentle mobilisations:
In practice, it is useful to record in the consultation sheet the provision of this certificate when required, as well as the information given to the patient.
The consultation in five stages
- Clinical history. Reason for consultation, medical and surgical history, trauma, treatments, additional examinations provided.
- Clinical examination. Postural observation, mobility tests (active/passive), exclusion tests, exploration of spheres (structural, visceral, cranial).
- Diagnosis and plan. Prioritisation of dysfunctions, therapeutic plan in consultation with the patient.
- Treatment. Adapted manual techniques (structural, functional, tissue, visceral, cranial).
- Verification and advice. Re-tests, course of action, lifestyle and prevention advice.
The structure of a consultation sheet / report
- Identification and reason. Patient, date, reason for consultation.
- Clinical history. History, trauma, treatments, additional examinations.
- Clinical examination. Postural observation, mobility tests, exclusion tests, spheres explored.
- Osteopathic diagnosis. Prioritised dysfunctions; exclusion diagnosis and potential referral.
- Treatment performed. Techniques used, areas treated, patient reaction.
- Verification. Re-tests at the end of the session.
- Advice and follow-up. Recommendations, course of action, frequency of sessions.
Osteopathic consultation sheet outline to download
Uses the structure above, ready to fill out and adapt to your practice. Access the PDF by entering your email:
Follow-up and referral
The patient file traces the history and progress from one session to another. In the event of an exclusion diagnosis, a referral letter to the primary care physician or a specialist ensures continuity and safety of care.
Save time on writing
Between the thorough clinical history, examination, and treatment, little time is left for the sheet. Start with a fixed outline, standardise your diagnosis and advice formulations, and dictate your sheet right after the session.
This is exactly what Delta does: live note-taking or post-session dictation, and the tool generates a structured consultation sheet according to your outline, with a longitudinal patient memory that reuses the patient history from one session to another. HDS hosting, GDPR compliant.
Frequently asked questions
Is a prescription required to see an osteopath?
No. The osteopath is a primary care practitioner: they are accessible directly, without a medical prescription.
Is osteopathy reimbursed?
Not by the Assurance Maladie. Some supplementary health insurance companies (mutuelles) offer a reimbursement package.
What does an osteopathic consultation sheet contain?
The reason for consultation, clinical history, clinical examination, osteopathic diagnosis, treatment performed, verification, and follow-up advice.
What is an exclusion diagnosis?
It is the stage where the osteopath determines whether care falls under osteopathy or requires referral to a physician or specialist.
How long does a session last?
On average between 45 minutes and 1 hour, depending on the reason and the patient.
Cut the time spent on your consultation sheets in half
Delta generates them from your live note-taking or your dictation.
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