Request your XPhe minis protein substitute samples – Republic of Ireland Only Patient's Full Name (required) Your Email (required) Telephone (required) Address Line 1 (required) Address Line 2 (required) Town (required) Post Code (required) IMD Type (required) Phenylketonuria (PKU) XPhe minis Protein Substitute Samples Required: --- (For patients with PKU and HyperPhe only / suitable from 7 years of age) XPhe minis Dietician Full Name: (required) Dietician Full Hospital Name: (required) I consent for Firstplay to contact me via: EmailTelephoneOpt Out I consent for Firstplay to contact me about my sample request: YesNo By submitting this enquiry I consent for Firstplay to share my personal information with Biofact Pharma Read our Samples Policy Read our Privacy Policy 92062