FAQs for the D4 medical

Queries answered for your D4 medical. This page should answer most of your questions related to your HGV, Taxi and D4 medical.

The HGV and D4 medical are the same medical. They cover heavy goods vehicles, Passenger carrying vehicles (bus/coach) and ambulance medicals.

We are doing the D4 medical despite the COVID-19 outbreak. Please click here for further information.


Your GP summary is not a requirement for the medical, this is for HGV, PCV and Wolverhampton taxi  medicals. However it does help with us presenting an accurate medical report to the relevant authorities.

If you are having a PCO medical for London TFL or your medical requires a full medical history not just your summary please obtain this from your GP. Unfortunately we are unable to help with attainment of this.

You can request your GP records from your own practice by asking the reception staff. They may charge you for this.

DVLA rules stipulate that as long as the eye test is passed there are no defined restrictions. Therefore if you normally wear glasses as long as you pass the test with your glasses there is nothing to worry about.

We will stipulate PLEASE BRING YOUR PRESCRIPTION with you for the eye test. This can be requested from your local optician and ensures a quick and easy test.

What if I have diabetes and use insulin?

If you have diabetes and use injectable treatment you can still have a group 2 DVLA license. There are however strict guidelines, these include not having a hypoglycaemic event (low blood sugar) in the past 12 months and also you should have the ability to recognise when you are having a  hypoglycaemic event. You must check your Blood sugar every 2 hours even on non-driving days and be able to show the doctor your Blood glucose readings from your machine for the past 3 months. An annual report from the doctor looking after your diabetes will also be required.

There is a strict criterion and for further information please see:


If you take tablets that can causes hypoglycaemia or low sugar attacks like sulphonylureas you will be required to do finger prick blood glucose tests at least 2 x a day and then during driving, i.e. 2 hours before driving and then 2 hourly. Evidence of this will be required via a self-monitoring book. You will also need to show an understanding of diabetes, and hypoglycaemia.

For more information please visit:  https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/561792/inf188x2-information-for-drivers-with-diabetes-treated-by-non-insulin-medication-diet-or-both.pdf

After a confirmed heart attack you must rest for at least 6 weeks. You will need to have a treadmill test as well as other tests.

The medical standards for a seizure/epilepsy are complicated.  Different criteria are set dependent on the type of seizure/faint.

Further information can be found at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/492335/INF4D_091115.pdf

For further information please contact us prior to booking.

The DVLA specify in their INF4D form regarding group 2 licenses that

“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 blood pressure is persistently 180 systolic or more and/or 100 diastolic or more

  • 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 and/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
  • Psychotic illness in the past 12 month

  • Serious psychiatric illness
  • If major psychotropic or neuroleptic medication is being taken
  • Alcohol and/or drug misuse in the past 1 year or alcohol and/or drug dependence in the past 3 years

  • Cognitive impairment likely to affect safe driving
  • 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 “

If it is a long term condition please contact the DVLA via phone or download the relevant form via the DVLA website.

Please download from the DVLA website or from our website during your application.

We normally have spare forms in the office.

We have limited availability so if you can bring yours we would be grateful.

Please use the DVLA website regarding medical standards for group 2 standards.

The form must reach the DVLA within 4 months of the assessment.

Yes. Please bring a list of all your medications with you.

For provisional or renewal HGV licenses the DVLA will allow you to have your medical with any approved doctor. For Hackney carriage or TAXI medicals certain local authorities have differing rules for whom can do the medical.


Please book your medical online at the following link:

HGV Medicals

Please book your HGV, Taxi or D4 medical online at the following link:



× Click here to WhatsApp us! Available on SundayMondayTuesdayWednesdayThursdayFridaySaturday