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Please provide your details, not your child’s. The only information we require about your child is their date of birth.














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Your Diagnosis

Have you been diagnosed with Coeliac Disease? If you are in the process of being diagnosed, please select “Not yet diagnosed”


If YES:




Have you been diagnosed with one of the following?

Diabetes

Dermatitis Herpetiformis?

Do you have any other Food Intolerances?


Your Diet

Tell us a bit about your dietary requirements so that we can send you the right products. Our foods are made specifically for people medically diagnosed with coeliac disease and following a gluten free diet.

Not all of our products are milk and soya free - please be aware that if you have additional dietary requirements, the contents of your pack will be more limited.

Gluten Free


Milk Free


Soya Free



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