Sharing premises between healthcare professionals and an osteopath?

Under French law, sharing premises is possible between healthcare professionals.

The French Public Health Code clearly distinguishes between healthcare professionals (each healthcare professional has a specific title in the Public Health Code, such as doctors (Articles D. 4111-1 et seq. CSP), midwives (Articles D.4151-1 et seq. CSP), physiotherapists (Articles R. 4321-34 et seq. CSP) and dieticians (Articles D.4371-1-1 et seq. CSP)) from other healthcare professionals (Article R.1110-2 CSP) who do not have a specific title in the Public Health Code (such as psychologists, osteopaths or chiropractors).

There has been a particularly heated debate between the CNOM (Council of the Order of Chartered Medical Practitioners)and osteopaths over the possibility of the latter sharing premises with doctors in health centres: until now, the Conseil d’Etat has considered such sharing to be impossible (1st and 6th sub-sections combined, 17/11/2010, 332771) .

In a decision dated 13 November 2025 (appeal no. 24-18.125), la Cour de Cassation affirmed that while osteopaths cannot be members of a health centre, they can participate in the activities defined therein by signing the health project and, as such, benefit from the rental of premises enabling them to practise their profession on a self-employed basis.

This development enshrines the sharing of premises.

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