Select your country - Select -UKIreland Vitaflo Ireland have moved their sample form. To request a sample please visit the Vitaflo Ireland Sample form. Visit Vitaflo Ireland Sample Form These samples are... - Select -Direct to PatientFor a Dietetic Department Please Select Your Samples: If you are unable to process the sample as required, or would like supporting literature, please use the additional information area below to describe your request. Low Protein Foods Vitabite (7 x 25g) Mini Crackers (15 x 40g) ProZero Unflavoured (6 x 1 Litre) ProZero Unflavoured (18 x 250ml) Prozero ProZero Unflavoured (6 x 1 Litre) ProZero Unflavoured (18 x 250ml) Mevalia Mevalia Pan Carre Mevalia Pizza Mevalia Fruit Bar Mevalia Penne Mevalia Fusilli Mevalia Ciabattine Mevalia Chocotino Mevlia Frollini Mevalia Spaghetti Mevalia Cookies Mevalia Bread Mix Mevalia Burger Mix Mevalia Lattis Mevalia Ditali Mevalia Pane Casereccio Mevalia Rice Replacer Mevalia Welcome Box Mevalia Welcome Box? Mevalia Pan Carre Mevalia Pizza Mevalia Fruit Bar Mevalia Penne Mevalia Fusilli Mevalia Ciabattine Mevalia Chocotino Mevlia Frollini Mevalia Spaghetti Mevalia Cookies Mevalia Bread Mix Mevalia Rice Mevalia Burger Mix Mevalia Lattis Mevalia Ditali Mevalia Pane Casereccio Mevalia Mevalia Pan Carre Mevalia Pizza Mevalia Fruit Bar Mevalia Penne Mevalia Fusilli Mevalia Ciabattine Mevalia Chocotino Mevlia Frollini Mevalia Spaghetti Mevalia Cookies Mevalia Bread Mix Mevalia Burger Mix Mevalia Lattis Mevalia Ditali Mevalia Pane Casereccio Mevalia Rice Replacer Mevalia Welcome Box? Mevalia Pan Carre Mevalia Pizza Mevalia Fruit Bar Mevalia Penne Mevalia Fusilli Mevalia Ciabattine Mevalia Chocotino Mevlia Frollini Mevalia Spaghetti Mevalia Cookies Mevalia Bread Mix Mevalia Rice Mevalia Burger Mix Mevalia Lattis Mevalia Ditali Mevalia Pane Casereccio Mevalia Egg Replacer Nutrition Support: Pro-Cal powder starter pack (8 x 15g sachets) Pro-Cal shot starter pack (3 x 120ml bottles, 1 bottle of each flavour) MCTprocal starter pack (12 x 16g sachets) Fruitivits (10 x 6g sachets) (32SF00C00A10) Supporting Literature Pro-Cal shot handy hints leaflet for patients who require nutrition support Pro-Cal shot handy hints leaflet for adult patients with kidney disease who require nutrition support Pro-Cal shot handy hints leaflet for paediatric patients for require nutrition support Pro-Cal powder handy hints leaflet for patients who require nutrition support Fruitvits information tear off pad Additional Information Special delivery requests Select your centre: Only for Low Protein samples - None -Aberdeen Royal InfirmaryAddenbrooke's Hospital, CambridgeAlder Hey Children's Hospital, LiverpoolBirmingham Children's HospitalBristol Royal Hospital for ChildrenBristol Royal InfirmaryDerriford Hospital, PlymouthEvelina Children's Hospital, LondonGlangwilli Hospital, CarmarthenGreat Ormond Street Hospital, LondonGuys and St Thomas' Hospital, LondonIpswich Hospital, LondonLeicester Royal InfirmaryMusgrove Park Hospital, TauntonNational Hospital for Neurology and Neurosurgery, LondonNinewells Hospital, DundeeNorfolk & Norwich University HospitalNorthern General Hospital, SheffieldNottingham Children's Hospital Poole HospitalQueen Elizabeth Hospital, BirminghamQueen's Medical Centre, NottinghamRaigmore Hospital, InvernessRHC & QEUH, GlasgowRoyal Aberdeen Children's HospitalRoyal Belfast Hospital for Sick ChildrenRoyal Derby HospitalRoyal Devon & Exeter HospitalRoyal Gwent Hospital, NewportRoyal Hospital for Children and Young People, EdinburghRoyal Liverpool University HospitalRoyal Manchester Children's HospitalRoyal Victoria Hospital, BelfastRoyal Victoria Infirmary, NewcastleSalford Royal HospitalSheffield Children's HospitalSouthampton General HospitalSouthmead Hospital, BristolSt Luke's Hospital, BradfordUniversity Hospital of Wales, CardiffWestern General Hospital, Edinburgh Healthcare Professional Name Place of Work Patient name: Department Name, Building & Floor Number Delivery Address Postcode Patient age: Delivery Telephone Number Please note that any requests submitted without a delivery telephone number will not be accepted. Healthcare Professional Name Healthcare Professional Place of Work Healthcare Professional 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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