This medical assessment is performed at one of many clinics located around the country. Under the DVLA D4 Medical form guidelines this test must be conducted strictly by a medical practitioner who is registered with the general medical council (GMC). Eye Test however can be performed by a fully trained & registered optician who is able to stamp the first part of the form, please remember optician will charge for this service as it falls outside NHS coverage. 






To Complete a D4 medical form you need to be assessed by a doctor who will verify that you are fit to drive. Most GPs see you at a time which is convenient for them, then to charge you a fortune. This usually means that you have to take a day off and pay for the privilege. However, with Nationwide Medicals, you can now book by calling on 0800 788 0643 or using the online booking system and the cost is just £49.





HGV and PCV drivers must have medicals throughout their careers:


  1. First application of your provisional Category C1 (7.5t), C (rigid) or D1 (minibus), D (bus) licence

  2. When you turn 45 you will need to do another medical followed by one every 5 years after that





Booking an appointment is easy!


  1. Book online and pay securely with a Debit or Credit Card Online! Select your own appointment

  2. Book by calling 0800 788 0643, please have your Debit or Credit Card nearby ready for payment




What does the medical examination involve?

Once you’ve booked your appointment take along your DVLA D4 form which is included in the application pack and head to your chosen GP’s surgery. You should already have filled out the first section of this form marked ‘to be completed by you’. You will be required to give a urine sample as they will be testing for diabetes so best to drink a pint of water before you leave the house. The examination will only take around 30 minutes and you will be asked questions about the following topics:


  • cardiovascular

  • endocrine system

  • musculoskeletal

  • neurological

  • psychiatric

  • vision


Based on your answers and the results of the tests your doctor will give opinion as to whether you satisfy the DVLA Group 2 medical standards and they will complete the remainder of the DVLA Standard 2 D4 Medical form, sign it, and put their surgery stamp on it. 


What medical conditions could effect my application?


There are no definitive yes or no’s to what what medical conditions could prevent you from passing this examinations but if you have any of the ailments listed below then it’s highly likely that your Taxi, LGV, HGV and PCV driving licence application will be refused:


  • Epilepsy

  • Insulin treated/insulin dependant diabetes

  • Monocular or poor vision

  • A progressive degenerative illness

  • A history of alcohol or drug abuse

  • A history of mental illness or severe mental handicap

  • A physical disability which might impair the ability to discharge the requirements of a vocational driver

  • Heart problems

  • Neurological or neurosurgical disorders (.e.g strokes, blackouts, head injuries)

  • Certain prescribed medications.


Please be aware that if some of your conditions are in the past then you may still pass this examination e.g. if you have had a stroke over a year ago and as long as there are no residual impairments you may be ruled fit but each case is dealt with on an individual basis so it’s worth consulting your GP about this and undergoing the medical fitness examination if you still really want to be a minicab driver.


For more information please kindly email us at or alternatively click here.