Individuals who wish to be a part of the 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 a better choice!

Enrollment Application Form

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

Medical Examination
Form

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