FAQs for D4 Medical (HGV PCV Driver)

  • 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


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

    • 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).

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

Bus D4 Medical Required

D+E Bus with Heavy trailer D4 Medical Required

The medical examination includes a vision assessment
which must be filled in by a doctor, optician or optometrist.
All doctors at Just Health Clinics will be able to fill in both the vision and
medical assessment.
Please note all our doctors are sanctioned to carry put DVLA D4 Medicals and are GMC registered and licensed to practice in the United
Kingdom or registered within the EU.

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.

Click here to Book Your Medical Online

D4 Medical Form for HGV D4 DVLA PCV LGV PSV C1 Driver Medicals

We are a nationwide medical clinic offering a wide range of Driver Medical Examinations by GMC registered Doctors. D4 Form completed in 15 minutes.

DVLA D4 form Download Here

FAQ’s for D4 Driver Medical

Further information about the Medical Assessment D4  Form

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.

Epilepsy or liability to epileptic seizures
If you have been diagnosed as having epilepsy, (this includes all events: major, minor and auras), you will need to remain free of seizures without taking anti-epilepsy medication for 10 years. If you have a condition that causes an increased liability to seizures, for example a serious head injury, the risk of you
having a seizure must have fallen to no greater than 2% per annum prior to application. If you have had only an isolated seizure, you may be entitled
to drive lorries and buses 5 years from the date of the seizure, provided that you are able to satisfy the following criteria:

• 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.

Insulin treated diabetes
If you have insulin-treated diabetes you may apply for a Group 2 licence as long as you can meet the strict criteria for controlling and monitoring diabetes. This includes:
• having at least 3 continuous months of blood glucose (sugar) readings available for inspection on a blood glucose meter(s) with a memory function
• undertaking blood glucose monitoring at least twice daily (even on days when not driving) and at times relevant to driving (no more than 2 hours before the start of the first journey and every 2 hours while driving)

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).

Other medical conditions
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:
• within 3 months of a coronary artery bypass graft (CABG)
• angina, heart failure or cardiac arrhythmia which remains uncontrolled
• implanted cardiac defibrillator
• hypertension where the resting blood pressure is consistently 180 mm/Hg systolic or more or 100 mm/Hg diastolic or more
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:
• psychotic illness in the past 12 months
• serious psychiatric illness
• if major psychotropic or neuroleptic medication is being taken
• dementia
• cognitive impairment likely to affect safe driving
An applicant or existing licence holder is likely to be refused a Group 2 licence if they cannot meet the recommended medical guidelines for the following:
• alcohol or drug misuse in the past 1 year or alcohol or drug dependance in the past 3 years
Facts you should know about excessive sleepiness or tiredness and driving
There is no excuse for falling asleep at the wheel and it is not an excuse in law.
• Up to one fifth of accidents on motorways and other monotonous types of roads may be caused by drivers falling asleep at the wheel.
• 18 to 30 year old males are more likely to fall asleep at the wheel when driving late at night.
• Modern life styles such as early morning starts, shift work, late and night socialising, often lead to excessive tiredness by interfering with adequate rest.
• Drivers who fall asleep at the wheel usually have a degree of warning.
• Natural sleepiness or tiredness occurs after eating a large meal.
• Changes in body rhythm produce a natural increased tendency to sleep at two parts of the day: Midnight to 6am and 2pm to 4pm.
• Although no one should drink and drive at any time, alcohol consumed in the afternoon may be twice as potent in terms of producing sleepiness and driving impairment as the same amount taken in the evening.
• Prescribed or over-the-counter medication can cause sleepiness as a side effect, always check the label if you intend to drive.

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

Click here to Book Your Medical Online

Our Customer Feedback & Reviews

360 Excavator Operator Medical for £75 near me in UK

Very friendly service fast and efficient with the added bonus I had my medical on a Saturday so didn’t have to take time off work! I’d definitely use again and recommend.

Chris R, Liverpool

Very professional, great social distancing whilst maintaining a friendly helpful atmosphere. The process was quick too. Would definitely recommend!

J Mason, Middlewich

Good and efficient service ,thank you for working during the virus epidemic, helpful getting my pco medical completed.

Anthony East, Solihull

Good all forms checked and filled in very prompt

Pauline Robertshaw, Scarborough

We have used Just Health for a family medical. I was very impressed with how efficient and easy the whole process was. I received an appointment very quickly and was able to get it all completed very efficiently. I couldn’t recommend them highly enough.

Jenna Rigby , Colne

The best clinic I have ever done medicals. Professionalism and approach to patient is exceptional. I truly recommend.

Piotr Piatczak, Leicester

I arrived early and got seen straight away. Doc was very professional and was extremely polite. Answered all my questions I had to ask about the forms. Will use again if she’s still doing it in 5 years.

Lee Ogaza, Hounslow

Did not wait long all most straight in and out. My doctor had charges me £130 pounds last time. Saved £80 pounds. Result!

Ken Daniels, Kendal

Amazing! Open 7 days got my medical sorted off-peak hours. No complaints here and very cost effective.

R N Clements, Preston

Needed medical for paramedic course fast service booked same day fantastic service

Anam A, Nelson

Very good and efficient service. Highly Recommend.

Nathan Estall, Mirfield

The Doctor was very informative and went through every eventuality.

Jane S, Holmes Chapel

Had my HGV Drivers medical with Dr Khan this morning. Fast, friendly, efficient and helpful. Very happy to recommend.

Paul Farmer, Steeton

Needed a medical for my LGV. Contacted the clinic direct and they were helpful, polite and professional. Booked my appointment and everything went very smoothly. I would recommend thsi clinic.

Glynn Griffin, Barnsley

Very easy Process from start to finish. Appointment times with immediate availability. Very nice doctor. Now my regular HGV medical centre.

Andy Lea, Milton Keynes

Very nice doctor very helpful happy with the service will use again thanks a lot best wishes.

Mervyn Obrien, Kettering

All good. Parking on street opposite. Friendly doctor.

Jeff Cleveley, Coventry

Very quick service seen on time

Michael Phelan, Lewisham

Lovely receptionist very helpful and the doctor was very thorough with his examination

J A Kennedy-Millar, Dagenham

Fast, thorough service at a convenient local location

John Entwistle, Chester
very happy with the service. Felt comfortable and reassured throughout the procedure. We were issued with an aftercare leaflet and a phone number we could ring in case we had any concerns.
FAZ, Blackburn

Absolutely superb , very quick and same day appointment higher recommended.

Milad Kargar, Chesterfield

First class service

S Collier, Buxton


Giancarlo De Canio, Crawley

Very Good service could not fault.

J Reddy, Wrexham

Lovely doctor, very positive and pleasant experience. Late appointments available, which is very convenient to pop in after work

K Kaziliunas, Birmingham

Great doctor and knows exactly what he was doing. Made you feel comfortable and welcome. Great guy thanks and will definitely recommend others to use you.

K Menns, Wythenshawe

very nice people there,friendly and nice. all perfect.

D Perez, Manchester

Very well organized, especially in the current climate

G Wilson, Durham

(D4 Medical) Appointment was booked the next day, receptionist staff friendly and helpful providing receipts on request, doctor was friendly and professional, overall brilliant service saving half price in comparison to NHS and a week early very pleased!

H Turner, Brigg

Really professional place and all was done quickly and efficiently. The doctor explained everything and was very patient, helpful and caring. Highly recommended

O Jugoo, Lincoln

Fast friendly service, just what the doctor ordered!

K Calfos, Carlisle

Amazing, Fast Professional, Clean Place. Managed to get my driver medical sorted out same day!

M Khan, Reading

Professional, pleasant and convenient service. Everything from booking to the actual medical, was simple, well explained and there was always someone on hand and willing to answer any queries. Would definitely recommend .

Alan Downs, Lancaster