One of the most common and frustrating challenges for Registered Dental Hygienists in Alternative Practice (RDHAPs) is finding and keeping a steady client base. Unlike traditional dental offices that benefit from location visibility and walk-in traffic, RDHAPs operate in more specialized, mobile, and underserved settings. This unique model is incredibly rewarding, but it also demands creative and consistent strategies to grow and maintain a strong patient pipeline.
You’re not alone if you’re struggling with client acquisition or worried about long-term retention. Let’s explain why it’s difficult—and more importantly, how you can overcome it.

Why It’s a Challenge
Lack of Public Awareness
Most people still don’t know what an RDHAP is or that they can receive dental hygiene care in their homes, schools, or care facilities without visiting a traditional dental office.
Limited Referrals
Many RDHAPs struggle to build consistent referral networks, especially in areas where general dental practices may view them as competition rather than collaborators.
Access Barriers for Patients
The patients RDHAPs serve—such as individuals with disabilities, seniors, or those in remote areas—may lack reliable transportation, financial resources, or family support to regularly access care.
Business Isolation
Running a solo practice can be isolating, and it’s easy to feel like you’re reinventing the wheel without guidance, tools, or mentorship.
How to Overcome These Challenges
1. Educate Your Community
Public awareness is key. Use flyers, community presentations, social media, and local partnerships to explain who you are and how you help. Highlight real-world benefits like in-home care, accessibility, and compassionate service for underserved patients.
Pro Tip: Create simple handouts for case managers, school nurses, and residential care staff that explain your services and eligibility requirements.
2. Build Strong Referral Relationships
Don’t just hand out cards—nurture relationships. Reach out to dentists, physicians, geriatric care managers, social workers, and other healthcare providers to explain how you can help their patients. Position yourself as a partner in care, not a competitor.
Make it easy for them to refer you: Provide intake forms, eligibility checklists, or a “How to Refer” guide.
3. Join Local Networks and Resource Fairs
Get involved with local disability coalitions, senior services, or health-focused nonprofits. Attend resource fairs and bring your business cards, brochures, and a friendly, approachable presence. These events are perfect for building visibility and trust.
4. Leverage RDHAP Connect
RDHAP Connect was built for this exact challenge—to connect you with families, caregivers, and facilities looking for the kind of care only you can provide. Use your profile as a marketing tool, update your service area, and make sure your contact information is up to date.
5. Focus on Patient Retention
The best way to grow your business is to keep your current patients happy and engaged. Follow up with scheduling reminders, send holiday cards, and provide clear, kind communication. When you show up consistently, your patients and their families are more likely to recommend you to others.
You’re Not Alone, We’re in This Together
Growing a client base as an RDHAP takes patience, consistency, and support—but it’s absolutely possible. At RDHAP Connect, we’re here to help you connect with the people who need your care the most. By raising awareness, nurturing referrals, and staying connected to the community, you can build a thriving, sustainable practice.
Let’s keep growing together. 💙