Select your country - Select -UKIreland We are currently experiencing some technical issues with our sample request form. If you receive an error message please email your request to uksamples@vitaflo.co.uk or call 0151 702 4936 Delivery Name House Name / Number Street Name City County Delivery Address Delivery Telephone Postcode Eircode *The inclusion of an Eircode will help accurately direct parcels delivered by our couriers to the correct location in a timely manner. Don't know your Eircode? Find it here Healthcare Professional Name Healthcare Professional Place of Work Job Title Healthcare Professional Email Address Healthcare Professional Contact Number Please select your samples: Pro-Cal powder Starter pack (8 x 15g sachets) Pro-Cal shot Starter pack (3 x 120ml bottles) Fruitivits Starter pack (10 x 6g sachets + beaker) MCTprocal Sample box (12 x 16g sachets) Betaquik Starter pack (2 x 225ml cartons + measuring cup) Vitajoule 500g tub K.Yo Chocolate Starter pack (4 x 100g pots) K.Yo Vanilla Starter pack (4 x 100g pots) Comments/Special Requests Nutrition Support Samples: Pro-Cal Shot Starter Pack (787241 | 3x120ml) Pro-Cal Powder Sachets Starter Pack (787242 | 8x15g) PreLoad Sample Fruitivits Sample Pack (787243 | 10x6g) MCT Pro-Cal Sample (787246 | 12x16g ) Betaquik Sample (787232 | 2x225ml) Phenylketonuria (PKU): PKU explore 5 (787328 | 10 x 12.5g)PKU Explore 10 Start It (787238 | 6x174ml)PKU Squeezie Start It (787222 | 6x85g)PKU Express 15 Start It (787227 | 10x87ml)PKU Express 20 Start It (787234 | 10x34g) PKU Cooler 10 Start It (787226 | 10x87ml)PKU Cooler 15 Start It (787229 | 10x130ml)PKU Cooler 20 Start It (787228 | 10x174ml)PKU Air 15 Start It (787221 | 10x130ml)PKU Air 20 Start It (787247 | 10x174ml)PKU Sphere 15 Start It (787230 | 9x27g)PKU Sphere 20 Start It (787245 | 9x35g) Click in the box to select your samples. Rare Disorders of Metabolism HCU Express 20 Start It (787236 | 10x34g) HCU Cooler 10 Start It (787239 | 6x87ml)HCU Cooler 15 Start It (787224 | 6x130ml)HCU Cooler 20 Start It (787233 | 6x174ml)MSUD Express 15 Start It (787240 | 10x25g)MSUD Cooler 15 Start It (787223 | 6x130ml)MSUD Cooler 20 Start It (787237 | 6x174ml) Click in the box to select your samples. Ketogenic Diet Fruitivits Sample Pack (787243 | 10x6g)MCT Pro-Cal Sample (787246 | 12x16g )Betaquik Sample (787232 | 2x225ml)K.Yo chocolate sample pack ( 789134 | 4x100g)K.Yo vanilla sample pack ( 789135 | 4x100g) Click in the box to select your samples. Low Protein Support Products Vitabite Bars Chocolate Flavour (469099 7x25g) Mini Crackers (748999 15x40g)Vitabite Advent Calendar (787244 | 1x71g)Vitabite Bunnies (787231 | 3x20g)ProZero Sample Click in the box to select your samples. Additional Information I agree to Vitaflo processing my personal data as set out in the Privacy Policy. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Please ensure that you have the patient’s express prior consent before providing a patient’s name or contact details to Vitaflo. If the patient is under 13, express prior consent of the parent or guardian should be obtained instead. Vitaflo will only process the patient’s personal data to fulfil this sample request and for no other purpose. Click here for our privacy policy **To avoid submitting multiple orders, please only press the SUBMIT button once. A confirmation email will be sent to confirm your request. (If you cannot see this e-mail please check your junk folder)** Submit
