Covid Vaccine--Lecanto

Moderna COVID Vaccine Appointment Scheduler--Lecanto Location
We provide the Moderna Covid Vaccine as well as the boosters according to the current approved booster schedule. Our Lecanto pharmacy offers vaccinations on Thursdays. Our Inverness pharmacy offers vaccinations on Tuesdays.
Appointment Date & Time
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Which dose are you making an appointment for?
Social Security Number--This is for billing purposes. Please be bring your insurance cards. If you are uninsured, your SSN will be required.
Email Address--if provided you will receive consent forms ahead of time.
example@example.com
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Contact Method
Screening and Consent Form. If you selected to print or download ahead of time, please complete, and bring with you the day of your appointment. To print, select the printer icon below. To download and save, select the down arrow next to the printer. If you are unable to print a copy at home, please pick up a copy before your appointment if possible.
Please review the Moderna Fact Sheet below. A copy will be available the day of your vaccination. To print, select the printer icon below. To download and save, select the down arrow next to the printer.
Please review the What to Expect Card below. A copy will be available the day of your vaccination. To print, select the printer icon below. To download and save, select the down arrow next to the printer.
This form is required if you wish to be vaccinated in the extremely vulnerable category. It must be completed by a physician PRIOR to your appointment. To print, select the printer icon below. To download and save, select the down arrow next to the printer.
Should be Empty:

Moderna COVID Vaccine Appointment Scheduler--Lecanto Location