The Shift Stack
The practice OS for manual therapy

One app for the whole clinic, so the admin stops running you.

Track every patient against an objective score, turn your findings into a report they say yes to, and take the busywork out of letters, reminders and reactivation. Built by a practising clinician, for physios, osteos, myotherapists and chiros.

Start your 60-day free trial See how it works
No card to start · from $99/mo · cancel anytime
Sound familiar

Your clinic runs on you, and it is wearing thin.

You did not train for years to spend your nights on paperwork and your days chasing people. But this is how most good clinics actually run:

None of that is a discipline problem. It is a systems problem, and a system is something you can install.

Fix it, free for 60 days
The fix

One dashboard. The whole practice.

Sign in once. Every part of the clinic lives behind a row of tabs. Turn on what you need now, and the rest is sitting there, ready, for when you are. Here is what each piece takes off your plate.

Score & tracker

Give patients a number they can watch climb.

People stop care the moment they stop feeling like it is working, even when it is.

At regular intervals you take five objective measurements, and the app boils them down to one honest number plotted from where they started to their goal. Between checks they watch that number climb, so they stay motivated to finish. You get a defensible record that backs your plan to the patient, the GP and the insurer. The five measures are yours to choose: start from our clinical defaults, or set your own, VALD, force plates, reps, even range of motion, so the Score fits how you already work.

Patients stay the course, and you can prove the work you are doing.

Five measures, one score, over time
34 78
Report of findings

Win the yes without the hard sell.

The findings conversation is where care is won or lost, and a talk in the room is gone by the car park.

You turn your findings into a private web page in your own words, with your program and your pricing. The patient reads it in the room, then again at home with their partner. No pressure, just clarity they can actually act on and share.

More patients start a real plan, and fewer drift off undecided.

Your report, their phone
What we found
A clear picture of what is driving it, and the plan to fix the cause.
Your program
set and adjusted to you
Weekly
a set weekly amount
Upfront
or pay once
Patient app & messaging

Put a coach in their pocket, not a photocopy in the bin.

The work happens between appointments, and a printed exercise sheet is in the bin by Tuesday.

Your patient gets a real program on their phone that moves them through twelve coached stages, advancing on schedule as they improve, so there is always a clear next step instead of a vague "keep doing your exercises". Every movement has a video, so they do it right without you in the room.

  • Twelve coached stages, progressed on schedule as they improve
  • A video for every exercise, done properly at home
  • Adapts to a full gym, a home kit, or nothing while travelling
  • Pain check-ins that flag you the moment something spikes
  • Streaks and small wins that keep them coming back
  • One message thread to the clinic, so your personal number stays personal

Adherence that actually holds, fewer no-shows, and care that does not stop at your door.

Rebuild · Stage 8 of 12
🔥 6-day streak
Today’s session
Glute bridge
2 × 12
Dead bug
2 × 8 each side
McGill curl-up
3 × 6
Nice work this week, your side bridge is holding longer. Keep going.
Felt easier today, thanks!
Reminders

Never lose a patient to a gap in your memory.

You cannot hold in your head who is due for a review and who has gone quiet.

A follow-up worklist builds itself from your own tracker, so the people who need a nudge surface on their own. One click sends a warm message into their app. No Cliniko needed, it runs off the data you already have.

A fuller diary, without spending your day chasing people.

Needs a nudge today
Margaret F.
Due for a score re-check
Send
James O.
Quiet 24 days
Send
Priya S.
Nearing graduation
Send
Start your free trial
Pro

When you are ready, Pro takes the admin off your plate.

Everything above is the practice. Pro is the back office that usually eats your time and your margin, automated. One flat price per clinic, however many practitioners or beds you run.

Letter writer PRO

Get your evenings back from paperwork.

WorkCover, GP care-plan and NDIS reports eat the hours after clinic, and no one pays you for them.

It drafts the letter in your voice from what you already recorded, in seconds. You read it, adjust it, and send it yourself. It only ever drafts, and it never invents a finding or a figure.

Hours back each week, and reports that go out the same day instead of next month.

Care-plan letter · draft
To Dr Adams, re: your patient
Thank you for referring this patient. On assessment their score has moved from 34 to 78 over the course of care, with…
Drafted in seconds · you review and send
Reactivation PRO

Win back the patients you already earned.

People lapse before they finish care, and that revenue walks out the door quietly.

It surfaces the patients who dropped off before graduating and hands you a warm, ready-to-send win-back for each one. A click drops it into their app, so re-filling sessions takes minutes, not a marketing campaign.

Filled sessions from people who already know and trust you, with no ad spend.

Dropped off before finishing
Tom R.
Last seen 71 days ago
Win back
Anna K.
Last seen 63 days ago
Win back
It has been a little while. Your plan is still here and so are we. Want to pick up where we left off?
Economics PRO

Know what a bed is worth, and when to add another.

Most owners cannot say what one bed actually earns, or the point where it is full enough to expand.

A live view of revenue, break-even and profit per bed. Type your numbers in, or pull your real utilisation straight from Cliniko, and see the moment a bed is full enough to justify the next one.

You grow on numbers you can see, not on a hunch.

One bed, right now
68%
utilisation
$3.1k
profit / wk
Break-even at 41%. Room to grow before bed two.
Cliniko auto-pull PRO

Connect it once, then forget it.

Double entry between your practice software and everything else is a tax on your day.

Connect Cliniko once and new-patient summaries, letters and reminders draft themselves in the background. It is completely optional, everything works by hand too, but once it is on the admin just happens.

The back office keeps moving whether or not you think about it.

Running in the background
New patient summary
drafted overnight
Review reminders
queued for today
Utilisation
synced from Cliniko
Try Pro free for 60 days
Made yours

Built for any manual-therapy clinic, branded as yours.

The tools do not assume a profession or a method. Set your own program name, score name, pricing, logo and colours, and your patients see your clinic, not ours.

PhysiotherapyOsteopathyMyotherapyChiropracticExercise physiology
Built by a clinician

Made by someone who runs a clinic on it.

This was not built by a software company guessing at what a clinic needs. It was built by a practising chiropractor to run a real, growing practice, and it takes patient trust as seriously as you do.

🔒

Encrypted and isolated

Every clinic’s data lives in its own space. Your Cliniko key is encrypted and only ever read on the server, never in the browser.

✍️

Draft-only AI

The letter-writer only drafts. A clinician reads and sends everything, and it never invents a finding or a figure.

🛡️

Never sold, never trained on

Your data is never sold, and the AI provider does not train on it. A zero-retention agreement is being finalised on top of that.

Getting started

Up and running in an afternoon.

1

Start your trial

Sign up in a couple of minutes. No card needed, and you can cancel any time in the trial.

2

Brand it and add patients

Drop in your logo, colours and pricing, then add or import your patient list.

3

Send the first link

Send a patient their app link and you are live. Turn on Pro whenever you want more off your plate.

Pricing

Simple pricing. Cancel anytime.

Every plan starts with a 60-day free trial, no card needed to start. Unlock Pro whenever you like, it all lives in the same dashboard.

Core
$99 /mo · or $990/yr
  • Patients, Score & tracker, digital report
  • Patient app and messaging
  • Reminders and follow-up nudges
  • Your brand, works on any system
Start on Core
Pro MOST POPULAR
$199 /mo · flat, per clinic
  • Everything in Core
  • Letter writer (WorkCover, GP, NDIS)
  • Reactivation and live economics
  • Cliniko auto-integration
Start on Pro

Pro is a flat price per clinic location, however many practitioners or beds you run.

Questions

The things clinics ask first.

Do I need Cliniko to use it?

No. Everything works by hand. Connecting Cliniko just automates the admin, like drafting letters and building reminders, so it happens without you.

Do I have to use your exact tests for the Score?

No. The Score is five markers you choose, each out of 20, totalling 100. Use our clinical defaults, a VALD or force-plate set, plain reps, range of motion, or a simple 0 to 20 rating, whatever you already measure. You can also skip the Score and just use the app, reports and letters.

Will it fill in the Score from my Cliniko notes?

Yes, on Pro, as long as your treatment note lists the five markers explicitly, labelled M1 to M5 (for example “M1 Back extension: 22/30 reps”). The pull reads what is written and never guesses, so a marker that isn’t in the note stays blank for you to enter. Movement confidence (M3) can be calculated straight from a TSK-11 on your intake form, or from a quick 1 to 20 rating you ask during the history. Setup shows the exact format, and you can always score by hand.

Does it replace my practice-management software?

No, it sits alongside it. This is your patient-facing and admin layer: scores, reports, the patient app, letters and follow-up. Your booking and billing stay where they are.

Is my patient data safe?

Each clinic’s data is isolated and encrypted, never sold, and the AI provider does not train on it. It was built by a clinician who has to answer to patients too.

Who is it for?

Any manual-therapy clinic: physiotherapy, osteopathy, myotherapy, chiropractic and exercise physiology. The tools do not assume a method.

Can I cancel?

Any time. The 60-day trial needs no card, and there is no lock-in after it.

How long does setup take?

About an afternoon. Add your brand and pricing, import your patients, and send the first app link.

Ready

Give the admin back to the software.

Start free, brand it as yours, and see your first patient’s score climb this week.

Create your clinic account

Set up your account, choose a plan, and you're running it in your own clinic today.

60 days free, then your plan. No card needed to start, cancel anytime. Course member? Use your course link for 3 months free instead.
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