Sample Requests
For use by Healthcare Professionals in the UK.
Not to be used in a clinical emergency.
For urgent requests, please call Customer Services on 0151 702 4936 or email uksamples@vitaflo.co.uk
For Republic of Ireland, use this sample request form.
For UK requests, select one of the following options:
How to use the Sample Request Forms
The video below outlines how to use each of the options above. It is also broken down into chapters, so you can easily find an explanation of the form you wish to use.