• Photo ID ( Birth certificate, marriage certificate, medical card, driving licence, passport, paid utility bills, bank or building society cards or statements, National Insurance number card, payslip, letter from Benefits Agency, papers from Home Office)
• Your driving glasses/contact lenses & prescription.
• Details of any ongoing medical conditions.
• Prescription medications that you are taking.
• DVLA STANDARD D4 MEDICAL FORM. Please fill in the grey section on page 1 (left hand side) ‘Your details’ and page 8 (consent and declaration) alongwith your name and date of birth at the foot of all other pages on the D4.

The examination will only take around 15 minutes. It includes an eye test, Blood pressure check, physical examination and BMI Check. You will be asked questions about the following topics:

• cardiovascular system including high Blood pressure.
• endocrine system such as diabetes
• musculoskeletal such as back pain.
• neurological such as stroke
• psychiatric such as depression.
• Alcohol and drug history
• vision.

The doctor will complete the form based on your answers, medical history, medications and the results of the examination findings.

We cover Burnley Altrincham Sale Didsbury Cheetham Hill Blackburn Leeds Preston Bradford Blackpool Oldham. Liverpool Southport Lancaster Morecambe Heysham Cumbria Brighouse Bury. Manchester Worsley Great Harwood Rossendale. Bolton Cross Hills Hebden Bridge Nelson Blackburn Colne Rawtenstall. Wigan Accrington. Clitheroe Whalley Bacup Rochdale Skipton Halifax Chorley Bamber Bridge Huddersfield Wakefield Dewsbury Padiham. Altham Keighley Lancashire Merseyside. West Yorkshire Greater Manchester Walton summit Pilsworth Industrial estate. Heywood Trafford Park Lodge Lane L8 Merseyside. Rotherham Birmingham Dudley Leicester. Northampton Boston Harrow Shepherds Bush. Edgware Tottenham Croydon Barking. Orpington Wimbledon Romford Enfield Southampton Hampshire Kent Essex Humber Crewe Lymm Warrington St Helens Ormskirk Goole Doncaster Sheffield Pontefract Knottingley York Harrogate Pannal Middleton Rotherham Grimsby Scunthorpe Lincoln Wakefield Hull Humberside Stoke Chester Cheshire Sevenoaks Wembley Southgate Lewisham Croydon Sutton Heathrow Slough Twickenham St Albans Hounslow Watford Stratford Epsom Barnet Dagenham Dartford Grays Ilford Hatfield Barnsley Huddersfield Stockport Chorley Ellesmere port Wrexham Congleton Stafford Leek Macclesfield Chesterfield Worksop Thirsk Ripon Hornsea Scarborough Grassington Kendal Northwich London Greater London

Click Here to Book ONLINE NATIONWIDE

This medical assessment is performed by our GMC registered Doctors at Just Health clinics.

To Complete this medical you need to be assessed by a doctor who is registered with the general medical council (GMC). The Eye Test is also included at no extra cost.

You will need a D4 medical examination report:
• if this is your first application for a Group 2 bus or
lorry licence
• if you are applying to renew your Group 2 entitlement
at 45
• from 45 on, a D4 will be needed every 5 years until
you are 65 when you will need one annually
• if you are under 70, hold a medically restricted car
licence and held this licence before 1 January 1997
and wish to apply for C1 or C1/D1 entitlement
(vehicles between 3500kg and 7500kg and/or a
maximum of 16 passenger seats)
• if you are applying for a new Group 2 provisional
licence and a D4 has not been submitted in the last
12 months
• if you are a NI or EU or EEA driving licence holder whose
authority to drive Group 2 in Great Britain has run out
• if you are 70 and still need C1 and D1 entitlement,
you will need to have a D4 every 3 years.
Please note
You do not need to send in a D4 when you renew a
medically restricted licence until you are 45. If you are over
45 and have a medically restricted licence, a D4 will be
required every 5 years.
Further information is available at
www.gov.uk/driving-medical-conditions

• • Pay over the phone when you secure your booking
  • Book Online via secure payment system
  • Pay on the day is available, (Please ask when booking Cash Payments on the day are accepted at most clinics).

C Heavy Goods Vehicle HGV over 3500kg trailer limit 750kg D4 Medical Required

C+E Heavy Goods Vehicle HGV over 3500kg with a trailer over 750kg D4 Medical Required

C1 Light goods vehicle between 3500kg MAM and 7500kg MAM D4 Medical Required

C1+E Light goods vehicle between 3500kg MAM and 7500kg MAM with trailer D4 Medical Required

D1 Minibus with up to 16 passenger seats D4 Medical Required

D1+E Minibus with up to 16 passenger seats and trailer D4 Medical Required

D Bus D4 Medical Required

D+E Bus with Heavy trailer D4 Medical Required

Send the filled in D4 (vision and medical assessment) with your application form (D2/D47P) and driving licence to DVLA, Swansea, SA99 1BR.

If you do not send all the forms together, the processing of your application will be delayed.

The D4 is valid for a period of 4 months from the date Our Doctor signs and dates it.

For anyone who has been banned from driving and wishes to re-apply for their driving license, You may need a HRO Medical (High Risk Offender) medical such as a drink driver medical or drug driver medical. Please request the DVLA to appoint Just Health Burnley BB10 1DT (if this is within your locality). We offer appointments weekly. We are operating as normal for HRO Medicals in line with DVLA GUIDANCE.

Visual acuity
All drivers must be able to read in good light, with glasses or contact lenses if worn, a car number plate from 20 metres (post 01.09.2001 font) and have eyesight (visual acuity) of 6/12 (decimal Snellen equivalent 0.5) or better.
Applicants for Group 2 entitlements must also have, as measured by the 6 metre Snellen chart:
• a visual acuity of at least 6/7.5 (decimal Snellen equivalent 0.8) in the better eye
• a visual acuity of at least 6/60 (decimal Snellen equivalent 0.1) in the worse eye
This may be achieved with or without glasses or contact lenses. Snellen readings with a plus (+) or minus (-) are not acceptable e.g. 6/6-2 or 6/9+3.
If glasses (not contact lenses) are worn for driving, the spectacle prescription of either lens used must not be of a corrective power greater than plus 8 (+8) dioptres in any meridian.
If you cannot meet the above standard we may still be able to issue a Group 2 licence in the below circumstances.
If a Group 2 licence is held on 31 December 1996 and you have:
• a corrected visual acuity of at least 6/9 (decimal Snellen equivalent 0.6) in the better eye and 6/12 (decimal Snellen equivalent 0.5) in the worse eye
• an uncorrected visual acuity of 3/60 (decimal Snellen equivalent 0.05) in at least one eye
If a Group 2 licence is held on 1 March 1992 and you have:
• a corrected visual acuity of at least 6/12 (decimal Snellen equivalent 0.5) using both eyes together
• an uncorrected visual acuity of at least 3/60 (decimal Snellen equivalent 0.05) in at least one eye
You will also need to fill in a certificate about your recent Group 2 driving experience, DVLA will send this certificate for you to fill in once they get a valid application.
You will not be able to apply for any new lorry or bus entitlements that you have not previously held. Car driving licence holders who are renewing category C1 (small or medium lorries between 3500 – 7500kg) need to:
• meet the number plate test, and
• have eyesight (visual acuity) of 6/12 (decimal Snellen equivalent 0.5) or better
Car driving licence holders who are renewing category D1 (minibuses not for hire or reward) must meet the eyesight standard for Group 2 drivers.

Monocular vision
Drivers who have sight in one eye only or their sight in one eye has deteriorated to a corrected acuity of less than 3/60 (decimal Snellen equivalent 0.05) cannot normally be licensed to drive Group 2 vehicles. The exceptions are:
1. You were licensed to drive Group 2 vehicles before 1 April 1991 and the Traffic Commissioner who issued the licence knew that you had sight in only one eye before 1 January 1991, you must have:

• a visual acuity of at least 6/12 (decimal Snellen equivalent 0.5) if you held a Group 2 licence on 1 April 1983

• 6/9 (decimal Snellen equivalent 0.6) if you were licensed after that date

DVLA will send you a certificate of experience for you to fill in once they get a valid application. You cannot apply for new vehicle category entitlements –
only those you had previously held.

2. You are applying to renew entitlement to drive category C1 (vehicles between 3500kg and 7500kg) that was granted with your Group 1 (car and motorcycle) licence if you had passed a car driving test before 1 January 1997.

Uncontrolled symptoms of double vision
If you have uncontrolled symptoms of double vision, or you have double vision treated with a patch, you will not be allowed to hold a Group 2 licence.
Intolerance to glare If you have symptoms of intolerance to glare you will not be allowed to hold a Group 2 licence. Intolerance refers to a
situation whereby the glare impairs or distorts vision, rather than those situations where it results in discomfort only.

Visual field
• The horizontal visual field should be at least 160 degrees.
• The extension should be at least 70 degrees left and right and 30 degrees up and down.
• No defect should be present within a radius of the central 30 degrees.

• no relevant structural abnormality has been found in the brain on imaging

• no definite epileptic activity has been found on EEG (record of the brain waves)

• you have not been prescribed medication to treat the seizure for at least 5 years since the seizure

• you have the support of your neurologist

• your risk of a further seizure is considered to be 2% or less per annum (each year)

DVLA must refuse an application or revoke the licence if you cannot meet these conditions.

You are strongly advised to discuss your eligibility to apply for your driving licence with your doctor before getting a D4 report filled in. See following conditions:

• a stroke or transient ischemic attack (TIA) within the last 12 months

• unexplained loss of consciousness with liability to recurrence

• Meniere’s disease, or any other sudden and disabling dizziness or vertigo within the past year, with a liability to recurrence

• major brain surgery or recent severe head injury with serious continuing after-effects or a likelihood of causing seizures

• Parkinson’s disease, multiple sclerosis or other chronic neurological disorders with symptoms likely to affect safe driving

DVLA must refuse an application or revoke the licence if you cannot meet these conditions.

FGM and RT-CGM interstitial fluid glucose monitoring systems are not permitted for the purposes of Group 2 driving and licensing. Group 2 drivers who use these devices must continue to monitor finger prick capillary blood glucose levels. If you are able to meet all the criteria (see leaflet INS186) you
will be required to undertake an annual assessment by a hospital consultant specialising in the treatment of diabetes. This will be arranged by DVLA.
Leaflet INS186 (A guide for drivers with diabetes who wish to apply for vocational entitlement) is available to download from www.gov.uk/diabetes-driving

Sulphonylurea or glinide treated diabetes
If you have diabetes treated with a sulphonylurea or glinide, for example Gliclazide, you must undertake blood glucose (sugar) monitoring at least twice daily and at times relevant to driving (no more than 2 hours before the start of the first journey and every 2 hours while driving).

Medical conditions causing sleepiness
All drivers are subject to the pressures of modern life, but many drivers are unaware that some medical conditions also cause excessive sleepiness or tiredness. These, alone or in combination with the factors mentioned previously, may be sufficient to make driving unsafe. A road traffic accident may
be the first clear indication of such a sleep disorder. If you know you have uncontrolled sleepiness you MUST not drive.

Obstructive Sleep Apnoea (OSA) and Obstructive Sleep Apnoea Syndrome (OSAS)
OSAS is a condition which often goes undiagnosed. If it is not fully assessed and treated, this can cause sleepiness and other symptoms which can be a serious risk factor in road traffic accidents. For further details about how to recognise symptoms go to www.gov.uk/obstructivesleep-apnoea-and-driving
You must tell us immediately if you are diagnosed with OSAS.
• OSAS is the most common sleep-related medical disorder.
• OSAS increases the chances of a vehicle crash by about five times.
• OSAS occurs most commonly, but not exclusively, in overweight individuals.
• Partners often complain about snoring and notice that the sufferers have breathing pauses during sleep.
• OSAS sufferers rarely wake from sleep feeling fully refreshed and tend to fall asleep easily when relaxing.
• Long distance lorry and bus drivers affected by OSAS are of great concern as most will be driving on motorway type of roads and the size or nature of the
vehicle gives little room for error.
• Sleep apnoea affects on average about 25% of men and 10% of women.
• OSAS affects on average 4% of men and 2% of women.

•Sleep problems arise more commonly in older people.
• Lifestyle changes, for example weight loss or cutting back on alcohol, will help ease the symptoms of OSA.
• The most widely effective treatment for OSAS is Continuous Positive Airway Pressure (CPAP), this requires the patient to wear a soft face mask during
sleep to regulate breathing. This treatment enables patients to have a good night’s sleep, so reducing daytime sleepiness and improving concentration.

Other sleep related conditions
Illnesses of the nervous system, such as Parkinson’s disease, multiple sclerosis (MS), motor neurone disease (MND) and narcolepsy may also cause excessive sleepiness or fatigue although sometimes these illnesses alone may cause drivers to be unfit for driving.
Tiredness or excessive sleepiness can be a non-specific symptom of Parkinson’s disease, MS, MND or may also be related to prescribed medication.
Narcolepsy also causes daytime sleepiness and tiredness as well as other symptoms that may be disabling for drivers.

An applicant or existing licence holder is likely to be refused a Group 2 licence if they cannot meet the recommended medical guidelines for any of the following:
• any malignant condition in the last 2 years, with a significant liability to metastasise (spread) to the brain
• any other serious medical condition likely to affect the safe driving of a Group 2 vehicle
• cancer of the lung