Membership Registration

Signing Up for our Wellness Center
At Logan County

Please fill out all the information down below:

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(Required)
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
Name
Name
Name
Name
Please type your full name to agree(Required)
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