Forms to complete prior to visit
Psychiatric Services of Southern Illinois
Please print and complete these forms before your first visit”
Medication Management Packet
“Please print and complete these forms before your first visit”
Counselors Packet
“Please print and complete these forms before your first visit”
Contact Us
For more information or to schedule an appointment, please contact Dr. Jeffrey S. Chalfant's psychiatry practice. We are here to assist you with any inquiries you may have.
Phone: (618) 236-6501
Address: 2900 Frank Scott Parkway W. Ste 990
Belleville, IL 62220