New Patients


New Patient Forms

To provide you with the most efficient new patient experience, please complete the New Patient Forms prior to your first appointment. Our team will take comprehensive records and address any concerns or questions you may have. If you have any problems downloading the forms, please contact our office and we will gladly send them to you.

Additional Patient Forms

 Your First Visit

Your first visit with us may include:

  • Comprehensive oral examination.
  • Full mouth digital x-rays.
  • Oral cancer screening.
  • Oral hygiene instruction.
  • Teeth cleaning.

One-on-one consultation with our dentist to discuss your needs, concerns, goals, and treatment options.
During your visit, we will answer any and all questions about your oral health. We will provide a detailed financial consultation to ensure your treatments are timed effectively and affordably.

Financial Arrangements

Payment is due at the time service is rendered, unless other arrangements have been made in advance.


Traditional insurance plans allow you to select your dentist of choice. For PPO and DMO insurance plans we are considered out of network.

Dental insurance can be a great health benefit to you; however, the amount your insurance does not cover is solely a reflection of the quantity of coverage your employer provides you and not a reflection of our office fees and policies. We ask for payment at the time services are rendered. We will generate a computerized claim form that you (or our office) can submit to your insurance company for reimbursement

What Our Patients are Saying

Rita Foley

“Dr. Bonk has been my dentist for twenty years. He and his team are excellent in all ways possible. If you have cosmetic dental needs, he should be your first choice.”

Paul Neilsen

“I have been a patient of Dr. Bonk’s for over 25 years. Would be hard to find a better dentist than Jeff and his staff has always been excellent. Would recommend to anyone.”

Melanie Wood

“Dr. Bonk and his entire team have been in my corner for over 7 years…For someone who had severe anxiety going to the dentist, I now look forward to walking through the door with a big smile. Thank you!!”

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Contact Us

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Monday: 8:00 am - 5:00 pm
Tuesday: 8:00 am - 5:00 pm
Wednesday: Closed
Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 12:00 pm
Saturday: By Appointment


525 W. Old Northwest Hwy
Suite #303
Barrington, IL 60010