Portfolios are used in the education of health professionals across numerous professions including medicine, nursing, dentistry and physiotherapy. Portfolios are a collection of evidence of learning and reflection, both of which are required to be a capable healthcare professional. The current paper describes how a portfolio is to be introduced into the assessment of the final year of a pre-professional osteopathy program. A discussion of the introduction, structure, mentoring and assessment of the portfolio is provided, along with how the implementation of the portfolio will be reviewed.