Direct to Patient Sample Requests | Nestlé Health Science

Please do not use this form in a clinical emergency.

For Republic or Ireland, please use this sample request form

To speak to a member of our customer services team, please email uksamples@vitaflo.co.uk or call 0151 702 4936.

Find out what is included in our sample packs

If you are ordering PKU start for a newly diagnosed patient, please use the bridging stock option.

These samples are for...

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.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.