Individuals who wish to be a part of the Coltrane LIFE Center are encouraged to fill out the forms below or simply call us at (704) 788-1215. We are happy to help you get started. Coltrane LIFE Center offers an alternative choice to assisted living or nursing home care!

Enrollment Application Form

Please fill out the enrollment application form and return to:
Kristy Smith, Family Services Director 
ksmith@coltranelifecenter.org

321 Corban Ave. SE
Concord, NC 28025

Medical Examination
Form

Please fill out the medical examination form and return to:
Kristy Smith, Family Services Director 
ksmith@coltranelifecenter.org

321 Corban Ave. SE
Concord, NC 28025