Alta Clinical Systems
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Custom software for independent practices

Clinical software without the six‑figure budget.

Building custom software for a small practice used to mean hiring a developer you couldn't afford. That's changed. With AI-assisted tools I build the same systems solo, for a fraction of what a dev shop charges.

I'm the CIO of a functional medicine clinic. I rebuilt how it runs on top of the EMR we already used, and I still see my own patients.

Book a discovery call → Meet the builder
Dr. Joshua Wallert, DC
Dr. Joshua Wallert, DC · DACNBCIO & lead provider
Most consultants have either run a practice or written software. I've done both, at the same clinic, for over a decade.
— Dr. Joshua Wallert, founder
The gap I work inThe problems nobody sells you a fix for
i

Your software doesn't fit

You bend your workflow around a tool that was built for someone else. And you pay for it every month.

ii

Manual work everywhere

Your staff retype the same data into system after system. Work a script should handle runs on people instead.

iii

Your data is trapped

You want a straight answer about your own numbers. Getting it costs someone half a day of copy-paste.

iv

It all lives in your head

Nothing is written down. Take a week off and things quietly break.

The builderBoth halves of a clinic

I treat patients and I write the software. So when you describe a bottleneck in your clinic, I don't need it translated, and when we agree on a fix, I build it myself, not a subcontractor you'll never meet.

I didn't build our EMR. I built everything around it. On top of the software we already had, I took the practice off spreadsheets and onto custom tools in less than five months: audits that catch billing and scheduling problems early, one screen that brings a complex patient's whole history into one place, with an AI assistant to help plan care, and a browser extension that replaced the paper form that providers filled out after every visit. That extension alone gives each provider about thirty minutes back a day. I built all of it myself, with Claude Code. I'm also a chiropractor with a functional-neurology diplomate, and I still carry a caseload of complex cases.

TenureOver a decade, one clinic
Role todayCIO and lead provider
RebuiltThe practice's tooling, in less than five months
Built withClaude Code, on top of the existing EMR
EngagementsThree ways to work together
i

Practice Assessment

Know exactly where to focus
I go through how your practice runs and find where the time and money leak out. If you hire me for the next step, this fee comes off the price.
from $1,500
1–2 weeks
 ii

System Development

Operations that run without you
I take one part of your practice that runs on memory and improvisation, and turn it into a written system your team can actually follow.
from $3,000
2–4 weeks
 iii

Custom Tooling Build

Software built for your clinic
Software built for how your clinic actually works. Sometimes that's a spreadsheet that kills a weekly chore. Sometimes it's a full system wired into your EMR.
scoped
per project
Compare all three →

Tell me where your practice hurts.

Book a free call. Tell me what's slowing you down, and I'll give you a straight answer on whether I can help.

Book a discovery call → [email protected]