Baxter Wellness Center
A self-serve center geared toward our local community's well being.
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Help/Repair Request
Please complete this form if you notice a piece of equipment or facility area needing attention or repair. We will address the repairs/issues as quickly as feasible. Thank you for your continued support in keeping our equipment and facility in top running order. 
Please select which piece of equipment or facility area needing attention/repair. Equipment is listed in order in which the equipment sits from the door to the west wall-front; and back.
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Other (Please explain). 
Please explain the issue with the equipment you chose in the previous question. 
You may also explain any adverse activity you've witnessed in the Wellness Center here. 
*Please give a date and approximate time of incidence; and *parties names included in or witnessed the incidence (if known). All information will be kept confidential as much as possible. Thank you for your support. 
Please list your first and last name (Please print clearly) *
Please provide your phone number for additional questions we may have.  *
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