Direct to Patient Sample Requests

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If you need to speak to a member of our customer services team, please get in touch at:

uksamples@vitaflo.co.uk or phone us on 0151 702 4936

If you are unsure of the contents of any of our sample packs, see our Sample Pack Information Page.

These samples are for...

Please select which disorder:

Please select your samples

Long Chain Fatty Acid Oxidation Disorders

Glycogen Storage Disease

Ketogenic Diet

Nutrition Support

Low Protein Foods

PKU Explore and Squeezie

PKU Cooler, Air, Express, Sphere

MSUD Explore

MSUD Cooler and Express

HCU Explore

HCU Cooler and Express

TYR Explore

TYR Cooler, Express and Sphere

MMA/PA Explore

GA Explore

Low Protein Foods

Flavourpac, FruitiVits and Basecal

Patient Name

Delivery Address

Postcode

Special delivery requests

Patient age

Delivery Telephone Number

Select your centre:

Healthcare Professional Place Of Work

Healthcare Professional Email Address

Additional Email Address

Healthcare Professional Contact Number

I agree to Vitaflo processing my personal data as set out in the Privacy Policy.

Vitaflo will supply the samples directly to the patient or (where the patient is under 13) the patient’s parent or guardian. By providing the patients’ name, address, date of birth and other information, and by ticking the box to acknowledge that you have read this advice, you confirm that you have obtained the patient’s consent (or the permission of the patient’s parent/guardian where relevant) to share the patient’s personal data with Vitaflo for the purpose of supplying product sample(s) to the patient.

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