Request metaX XPhe samples – United Kingdom Patient's Name (required) Your Email (required) Telephone (required) Address Line 1 (required) Address Line 2 (required) Town (required) Post Code (required) Country (required) EnglandScotlandWalesNorthern Ireland IMD Type (required) Phenylketonuria (PKU)Tyrosinemia (TYR)Homocystinuria (HCU)Urea Cycle Disorder (UCD)Other metaX XPhe jump & XPhe minis Protein Substitute Samples Required: --- (For patients with PKU and HyperPhe only) --- Take a look at our XPhe Customer Rewards Club below... XPhe jump Cola 10XPhe jump Wild Berry 10XPhe jump Orange 10XPhe jump Neutral 10XPhe jump Vanilla 10XPhe jump Tropical 10XPhe jump Cola 20XPhe jump Wild Berry 20XPhe jump Orange 20XPhe jump Neutral 20XPhe jump Vanilla 20XPhe jump Tropical 20XPhe minis tablets 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 Why not join our XPhe Jump Customer Reward Club?…..Click here for more info!