What is a D4 Medical Examination?

A D4 medical is an assessment required by the DVLA for drivers applying for or renewing certain driving licences, including Group 2 licences (HGV, bus, lorry). It ensures drivers meet the necessary medical standards for safe driving.

Who needs a D4 Medical?

You will require a D4 medical if:

You are applying for a Group 2 licence for the first time

You are renewing your Group 2 licence (typically every 5 years after age 45)

You are over 70 and wish to continue driving lorries or buses

You have certain medical conditions which require DVLA notification

What does the D4 medical involve?

The appointment includes:

Review of medical history

Blood pressure check

Vision assessment (including visual acuity and field testing)

Examination of relevant systems (cardiovascular, neurological, etc.)

Completion of the D4 form

Do I need an eye test before the appointment?

Yes. A full eye examination is required and must be completed by an optician or optometrist prior to your medical appointment. Please bring the completed vision section of the D4 form to your appointment.

What should I bring to my appointment?

Please bring:

Photo ID (e.g., passport or driving licence)

Any glasses/contact lenses you wear

Completed vision section of your D4 form

A list of your current medications

Your NHS number (if available)

How long does the appointment take?

Appointments typically take 20 to 30 minutes. We aim to make the process smooth, professional, and efficient.

How much does it cost?

The standard D4 medical is competitively priced at £XX.
Additional services:

Home visits: available at an extra fee

Evening or weekend appointments: available on request (surcharge applies)

Will you send the form to the DVLA for me?

We will complete and return the signed D4 form to you at the end of the appointment. It is your responsibility to submit it to the DVLA along with your licence application.

Can I book online?

Yes, you can easily book your appointment online via our Book Now page. Select a convenient time slot and confirm your appointment in minutes.

What is your cancellation policy?

Cancellations made at least 72 hours in advance are fully refundable. Cancellations made after this are not, however we may be able to reschedule it for you at no extra cost.

Im in a rush, can I get an urgent appointment?

If you're on a tight deadline and there is no suitable slot available on the booking page, please contact us and we will do our best to accommodate you.

I have a medical condition – can I still pass the D4?

Many conditions are compatible with driving, but some may require DVLA notification or further assessment. We will advise you accordingly and document all relevant findings.