Should Dentist Move Office, and if so, How?

I am a general dentist in private practice in a rural area wondering about how to relocate to a larger nearby town. 
My practice has slowed down over the last few years as the town is getting
smaller and smaller.  

I was wondering if you had any suggestions as to a good approach moving locations while trying to retain as
many of my current patients as possible.  The new town would be about 20
miles away.  I was thinking about trying to lease some space in a
specialist office maybe 1/2 to 1 day per week while keeping my rural practice
open full time.  At some point I would then relocate my practice to the
new town.  I know there are a lot of variables in this scenario but I was
just curious as to whether 
this  has done before and any thoughts or

Currently we are not in dire straits but
production has decreased an average of 6%/yr for the past 4yrs.  The town
itself is losing businesses and population.  I’m just trying to get out in
front of what may be coming.  I recently started direct mail for this town
and other towns surrounding us which hasn’t done well but I just started. 
I am tapped out on cutting costs so moving to a nearby town that is in fact
growing looked like a possible option if you had great suggestions
on how to go about it.
Thanks for your response.

I would think this
is the only way to try it. That is, open up in the town you want to build in
and slowly wean your patients from the old location to the new. You might work
your existing practice for 4 days for the 1st 12 months, then 3, then 2, then
1, etc. While weaning away from the old location, slowly increase the days in
the new location 1,2,3,4, etc.

So I see it as maybe a 3-5 year type of transition to see how many of your
existing patients are willing to come see you in the new location. Over time,
those that have agreed to do so should remain with you after closing the old

If you can run your new location inexpensively the first year or three, that’ll
help significantly with the double fixed OH.

Good luck.

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