2025 Membership Registration

Signing Up for our Wellness Center
At Logan County

Please fill out all the information down below:

2025 Member Registration

Logan County Rehabilitation and Wellness Center

Logan County Rehabilitation and Wellness Center

906 W 2nd Street, Oakley, KS 67748

785-672-8167

Name(Required)
Birth Date
Home Address
Type of Membership
Please enter a number from 1000 to 9999.

Couple and family memberships, please list all names and DOB to be included in the membership:

Name
MM slash DD slash YYYY
Name
MM slash DD slash YYYY
Name
MM slash DD slash YYYY
Name
MM slash DD slash YYYY
Name
MM slash DD slash YYYY
Please type your full name to agree(Required)
MM slash DD slash YYYY
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