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DVLA D4 Medical — HGV & Group 2 Licence | OUR GP Dundee
DVLA D4 Medical Examination for HGV drivers at OUR GP Dundee
OUR GP — Dundee · Driver Medicals

DVLA D4 Medical
for HGV Drivers

The Group 2 medical examination required for HGV, LGV, PCV, bus, coach and taxi licences. Conducted by a GMC-registered GP. D4 form completed and signed on the day. Available at our Dundee clinic.

Book D4 Medical
GMC-registered GP D4 completed on the day Dundee clinic £65 all-inclusive

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Who needs a D4? What the exam covers How often do I need one? Medical conditions & D4 What to bring Clinic location & booking FAQs
GMC-registered GP
DVLA-compliant assessment
D4 signed on the day
Dundee clinic
Group 2 driving licences

Who needs a DVLA D4 medical?

The D4 medical examination report is a legal requirement for anyone applying for or renewing a Group 2 vocational driving licence — this covers HGV, LGV, PCV, bus, coach, and many taxi and private hire licences.

Group 2 vehicles are large, heavy, or carry passengers — which means the DVLA holds drivers to significantly higher medical standards than ordinary car drivers. While Group 1 drivers (cars and motorcycles) can largely self-declare medical conditions, Group 2 drivers must provide regular, formal medical evidence through a completed D4 form signed by a GMC-registered doctor. The D4 is not a health check for your own benefit — it is a safety assessment for the benefit of every other road user.

HGV / LGV drivers (Category C)

All drivers of lorries over 3.5 tonnes — including artic drivers, rigid HGV, and class C vehicles — require a D4 for initial application and renewal.

PCV / bus & coach drivers (Category D)

Anyone driving a bus, minibus (with more than 8 passenger seats), or coach requires a D4 medical to obtain or renew their PCV entitlement.

Taxi & private hire drivers

Most local councils and Transport for London require taxi and PHV drivers to meet Group 2 medical standards, often using the D4 form or an equivalent assessment.

First-time applicants

If you are training for your HGV licence and applying for a provisional Group 2 entitlement for the first time, a D4 medical is required before your provisional is issued.

Licence renewals

Group 2 licences must be renewed with a D4 medical at age 45, then every 5 years until age 65, and annually thereafter. Missing a renewal means your entitlement lapses.

DVLA referrals & reapplications

If the DVLA has asked you to provide medical evidence following a health declaration, or if a previous application was refused on medical grounds, a fresh D4 is required.

“If you are training for your HGV licence, book your D4 medical early — you cannot proceed with your training or test applications without a valid medical already submitted to the DVLA.”

£65 D4 medical all-inclusive

D4 form completed and signed on the day. Dundee clinic available. No referral needed. Short-notice appointments available.

Book D4 Medical → Call to arrange

D4 is required when

  • Applying for first HGV / PCV licence
  • Renewing at age 45, then every 5 years
  • Annual renewal after age 65
  • DVLA requests medical evidence
  • Reapplying after refusal
  • Taxi / private hire licensing
  • Licence expired and reapplying
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The examination

What the D4 medical examination covers

The D4 is a structured, DVLA-defined assessment — not a general health check. It focuses specifically on conditions and measurements that could affect your ability to safely operate a large or passenger-carrying vehicle.

The D4 form is an 8-page DVLA document divided into three sections: the driver’s own declaration, the doctor’s clinical assessment, and the optician’s vision report. At OUR GP, the GP handles the clinical assessment in full and conducts vision testing in-house in most cases, so you typically only need a single appointment. The whole process takes around 45 minutes. The completed, signed D4 form is handed to you on the day to submit directly to the DVLA.

The D4 form — 3 sections
Section 1 — You
Driver’s declaration

Your personal details, driving licence number, and a full declaration of your medical history covering all conditions the DVLA requires you to disclose.

Section 2 — GP
Clinical assessment

The GP records blood pressure, BMI, neurological findings, cardiovascular assessment, and clinical review of all declared conditions.

Section 3 — Vision
Eyesight report

Visual acuity and visual field tested using Snellen charts. Completed by the GP in-house or by a separate optician if complex corrective lenses are involved.

What our GP examines at your D4 appointment

Vision — acuity & field

You must read a number plate at 20 metres. Visual acuity must be at least 6/7.5 in the better eye and 6/60 in the other. Visual field is also assessed. Glasses or contact lenses may be worn.

Blood pressure

Measured at the appointment. A persistent reading of 180/100 mmHg or above is a trigger to stop driving and notify the DVLA. Most drivers with controlled blood pressure pass without issue.

Cardiovascular assessment

Your heart health history is reviewed including any history of heart attack, angina, arrhythmia, or cardiac procedures. The GP checks pulse and heart sounds where indicated.

Neurological function

History of epilepsy, seizures, blackouts, stroke, or TIA is specifically reviewed. Group 2 drivers face stricter rules than car drivers — any history requires careful consideration and often specialist input.

Diabetes assessment

Insulin-treated or tablet-controlled diabetes does not automatically disqualify you, but specific DVLA monitoring requirements apply. Bring evidence of glucose control and recent HbA1c if relevant.

Sleep disorders

Obstructive sleep apnoea (OSA) is a significant concern for HGV drivers. If you snore heavily, feel excessively tired while driving, or have been told you stop breathing at night, disclose this.

Medical history review

A full review of your declared medical history — including mental health conditions, alcohol or substance use, medications, and any condition that could affect safe driving.

Physical examination

A brief physical check for any obvious limitations that could affect safe vehicle operation — including limb function, mobility, and any relevant physical disability or impairment.

“The doctor records findings and signs the D4 — but the doctor does not make the final licensing decision. The DVLA reviews the completed form and decides whether you meet Group 2 standards. Most drivers with common, managed conditions pass without any difficulty.”

~45 min appointment duration

D4 form completed and signed on the day. You submit it directly to the DVLA with your licence application or renewal form.

Book D4 Medical →

Group 2 vision standard

  • Read number plate at 20 metres
  • 6/7.5 acuity in better eye
  • 6/60 acuity in worse eye
  • Visual field meets DVLA standard
  • Glasses or contacts permitted
  • Monoculars cannot hold Group 2

Blood pressure standard

  • Must be below 180/100 mmHg
  • Controlled hypertension — usually fine
  • Single high reading — not automatic fail
  • Persistently high — stop driving, notify DVLA
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Renewal schedule

How often do you need a D4 medical?

The frequency of D4 medicals increases with age. Understanding your renewal schedule is critical — allowing your licence to lapse because a medical wasn’t booked in time can cost you your livelihood.

Group 2 licences are not renewed on the same fixed cycle as car licences. The renewal frequency depends on your age and whether the DVLA has issued any conditions on your licence. Many drivers are unaware that once they reach 65, they must renew their D4 medical and licence every single year — a much more demanding schedule than most expect. Missing a renewal date means your Group 2 entitlement automatically lapses, and you cannot legally drive an HGV or PCV until it is reinstated.

Age / SituationWhen D4 is requiredFrequency
First application (any age)When applying for provisional Group 2 entitlement for the first timeOnce on application
Under 45Licence valid for up to 5 years — no D4 needed unless DVLA requests one or a notifiable condition developsOn DVLA request only
Age 45First mandatory renewal medical — required when renewing at or after 45Once at age 45
45 to 65Renewal required every 5 years with a completed D4 medicalEvery 5 years
Age 65 and overAnnual renewal mandatory — D4 medical required every year to maintain Group 2 entitlementEvery year
Conditional licence holdersDVLA may issue a shorter licence where a condition requires more frequent review — check your licence expiry carefullyAs specified by DVLA
Health change at any ageIf you develop a notifiable medical condition, you must inform the DVLA immediately — do not wait for renewalImmediately

Don’t leave it to the last minute

Book your D4 medical at least 4–6 weeks before your licence expires. The DVLA can take time to process applications and issue new licences. If your licence lapses while the application is being processed, you may be unable to work legally during that period.

If you drive after your Group 2 licence has expired — even for one day — you may be committing an offence. Your employer’s insurance may also be invalidated.

£65 per D4 medical

Short-notice appointments available. Don’t let your licence lapse — book as soon as you know your renewal is due.

Book D4 Medical →

Key renewal reminders

  • Check your licence expiry date now
  • Book D4 at least 4–6 weeks before expiry
  • Over 65? You need a D4 every single year
  • New health condition? Tell DVLA immediately
  • Driving on a lapsed licence may be an offence
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Medical history

Medical conditions & the D4

Having a medical condition does not automatically mean you will fail your D4 or lose your licence. Most common conditions are acceptable if well managed — but they must be declared honestly.

The most important thing to understand about the D4 is that honesty is always the right approach. Failing to declare a relevant medical condition is not just a risk to your health — it is a criminal offence that can result in licence revocation, a fine of up to £1,000, and the invalidation of your employer’s commercial insurance. The DVLA’s job is not to disqualify drivers — it is to ensure that conditions are properly managed and monitored.

ConditionGroup 2 position
Controlled hypertension (blood pressure)
On medication, well controlled
Usually acceptable — most drivers with treated hypertension pass without issue
Type 2 diabetes (diet or tablet controlled)
No insulin
Usually acceptable — must be well controlled with regular monitoring evidence
Insulin-treated diabetes
Type 1 or Type 2 on insulin
Requires DVLA assessment — strict monitoring requirements; annual licence with evidence of control. Must carry glucose monitor.
Epilepsy / seizures
History of seizures
Requires DVLA review — Group 2 rules are stricter. Longer seizure-free periods required. Specialist report often needed.
Sleep apnoea (OSA)
With or without CPAP treatment
Must be declared and assessed — treated OSA with CPAP compliance data may be acceptable. Untreated significant OSA — must not drive.
Previous heart attack or cardiac event
MI, angina, cardiac procedure
Requires specialist report — often requires cardiologist assessment and a period off Group 2 driving before relicensing
Stroke or TIA
History of cerebrovascular event
Requires DVLA review — Group 2 rules are stricter than Group 1. Period off driving required, then specialist report needed.
Mental health conditions
Depression, anxiety, bipolar, etc.
Assessed individually — depends on condition, treatment, and stability. Controlled and stable conditions often acceptable.
Visual impairment
Corrected or uncorrected
Corrected vision often acceptable — provided Group 2 standards are met with glasses or contacts in use
Alcohol dependency (history)
Past or current
Must be declared — period of abstinence required; specialist report and liver function evidence may be needed

“Not sure whether your condition needs to be declared? The rule is simple — if in doubt, declare it. Our GP will advise honestly at your appointment whether the condition is likely to affect your D4 outcome and what the DVLA will require.”

Ask us first before booking

Concerned about a specific condition? Call or WhatsApp us before your appointment and our GP will advise on whether it is likely to affect your D4.

WhatsApp to discuss → Call us

Failing doesn’t mean permanent ban

  • Many conditions cause a delay — not a permanent refusal
  • DVLA often requires more evidence or specialist reports
  • Once conditions are controlled, relicensing is often possible
  • A shorter licence with review dates may be issued
  • Our GP will advise on next steps if your D4 cannot be completed
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Preparation

What to bring to your D4 appointment

Arriving prepared saves time and avoids your D4 form being delayed or returned by the DVLA. Read this section carefully before your appointment.

The D4 medical is a formal DVLA document — errors or missing information on the form are one of the most common reasons for delays. Our GP will complete the form carefully at your appointment, but there are things only you can provide. Bring everything on the list below. If you are unsure about any of it, call us in advance and we will advise.

Essential — must bring

  • Current photocard driving licence — required to confirm identity and driver number
  • Second form of ID — passport, utility bill, or bank statement
  • Glasses or contact lenses — bring exactly what you use when driving; the vision test is done with them in
  • Full medication list — name, dose, and what it’s for; include over-the-counter medications if relevant

Bring if relevant to your health

  • Optician’s report — if you have a recent report or prescription, bring it; helps confirm corrected visual acuity and speeds up the vision section
  • Diabetic monitoring records — recent HbA1c result, home blood glucose diary; insulin users need 3 months of readings
  • CPAP compliance data — if you use CPAP for sleep apnoea, bring downloaded usage records
  • Specialist letters or reports — cardiology, neurology, or any specialist managing a notifiable condition
  • Home blood pressure readings — if you have known hypertension, a recent diary of home readings is helpful
Do I need to bring the D4 form itself?

No — you do not need to bring or print the D4 form. We provide the form at your appointment. If the DVLA has already sent you a pre-filled renewal form (D47P), bring that with you. If you have already printed and partially completed a D4 you downloaded from GOV.UK, bring that too — but we will also have a copy if needed.

Common mistakes that delay DVLA processing

The DVLA returns forms with mismatched names, wrong addresses, or incorrect licence numbers. Everything on the D4 must match your licence exactly — including middle names and address. Our GP will help you complete this correctly.

Never leave a field blank. If a question does not apply, write “N/A” or “None.” Blank fields are treated as missing information and cause delays.

Ready? book your D4

Once you have everything on the list, book your appointment. Short-notice slots available. Short-notice appointments available at our Dundee clinic.

Book D4 Medical → Call us

After your appointment

  • D4 form signed and handed to you on the day
  • Submit to DVLA with your D2 (new) or D47P (renewal)
  • Keep a photocopy for your records
  • DVLA processing typically takes 2–6 weeks
  • Contact DVLA on 0300 790 6806 if chasing
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Clinic location

Book your D4 medical — Dundee

OUR GP offers D4 medicals at our Dundee clinic, in partnership with Direct HGV Driver Training for drivers currently in HGV training.

Whether you are based in Dundee, Perth, Angus, or Fife, our Dundee clinic offers short-notice appointments with the D4 form completed and signed on the day. We work in partnership with Direct HGV Driver Training, making us a convenient choice for drivers currently undertaking HGV training.

Main clinic

Dundee

14 Dudhope Street
Dundee, DD1 1JU
Serving Dundee, Perth, Angus & Tayside
£65
D4 medical all-inclusive
Book D4 Medical →
HGV Training partner

Direct HGV Driver Training

D4 medicals available for drivers
currently training with Direct HGV
Book via our Dundee clinic
£65
D4 medical all-inclusive
Book D4 Medical →
Currently training for your HGV?

Our additional location is convenient for drivers across a wider area — so if you’re training for your licence, you can have your D4 medical done at the same location. No need to travel to a separate clinic. Call or WhatsApp us to discuss location options.

1

Book your appointment online or by phone

Choose your preferred clinic location and select a time that suits you. Short-notice slots are usually available. Let us know if your licence is about to expire and we will do our best to accommodate you urgently.

2

Attend with your documents

Bring your driving licence, ID, glasses if worn, medication list, and any relevant medical letters or records. The appointment takes approximately 45 minutes from start to finish.

3

GP conducts the full D4 examination

Vision testing, blood pressure, medical history review, physical assessment, and neurological screening — all in one appointment. No separate optician visit needed in most cases.

4

D4 form signed and handed to you

The completed, GP-signed D4 form is given to you at the end of the appointment. You submit it directly to the DVLA with your licence application (D2) or renewal form (D47P).

£65 both locations

Same price at both clinics. D4 completed and signed on the day. Short-notice and urgent appointments accommodated where possible.

Book D4 Medical → Call to discuss

What’s included for £65

  • Full D4 medical examination
  • Vision testing (Snellen in-house)
  • Blood pressure measurement
  • Medical history review
  • D4 form completed & GP-signed
  • D4 form provided — no need to print your own
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Common questions

Frequently asked questions

Straight answers to the questions HGV and PCV drivers ask us most often about the D4 medical.

The D4 medical is routine for most professional drivers — but it generates a lot of questions, particularly among those approaching their first renewal at 45 or those with a managed health condition. If your question isn’t here, call or WhatsApp us and we’ll be happy to advise.

No — we provide the D4 form at your appointment. You do not need to download, print, or pre-fill the form before attending. If the DVLA has already sent you a pre-filled D47P renewal form, bring that with you. If you have already started completing a D4 you downloaded yourself, bring that too — but it is not required.
The appointment typically takes around 45 minutes from start to finish. This includes the vision test, blood pressure measurement, medical history review, physical assessment, and completion of the form. In most cases no separate optician visit is needed — vision testing is done in-house by our GP. If you have a complex vision prescription or eye condition, an optician may need to complete that section separately.
Not necessarily. A single elevated reading does not automatically prevent the D4 from being completed — blood pressure can fluctuate due to anxiety, caffeine, or recent activity. Our GP will take a clinical view. However, if your blood pressure is persistently above 180/100 mmHg, the DVLA requires that you stop driving and notify them. If you are on blood pressure medication and it is well controlled, most drivers have no difficulty passing the D4 assessment.
Most medications are not a problem for Group 2 licensing. Bring a full list of everything you take — name, dose, and what it’s prescribed for. Some medications can cause drowsiness or impair reaction times, which the DVLA will consider. Others — like blood pressure medication or statins — are completely routine and will not affect your D4 outcome. If you are unsure about a specific medication, call us before your appointment and we will advise.
In rare cases, the GP may not be able to complete or sign the D4 at the appointment — for example, if a condition requires further specialist input before the form can be finalised. If this happens, our GP will explain why clearly, advise what evidence or reports the DVLA is likely to need, and suggest the next steps. You will not be charged again for a follow-up appointment if it is related to the same issue. A D4 that cannot be completed is not the same as a permanent licence refusal — it is usually a request for more information.
This depends on your specific situation. For renewals where the application is received by the DVLA before your licence expires and you have no notifiable conditions, you may be able to continue driving on your existing entitlement while the application is processed — but this is not automatic and you should confirm with the DVLA. If your licence has already expired, you cannot drive a Group 2 vehicle until your new licence is received. If in doubt, contact the DVLA directly on 0300 790 6806 before driving.
You need to submit your D4 to the DVLA as part of your provisional Group 2 application before you can legally begin HGV training. Book your D4 medical as early as possible — ideally before you start or at the very beginning of your training, not after. We work in partnership with Direct HGV Driver Training — if you are a trainee, you can have your D4 done with us. Allow time for the DVLA to process the application — typically 2–6 weeks.
£65 Dundee clinic

D4 form completed and signed on the day. No referral needed. Short-notice appointments available at both clinics.

Book D4 Medical → Call us

Quick facts

  • Price: £65 all-inclusive
  • Duration: ~45 minutes
  • D4 form provided — don’t need to print
  • Form signed on the day
  • Vision tested in-house
  • Dundee clinic available
  • Short-notice appointments available
  • GMC-registered GP throughout
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Book your D4 medical today.

Dundee clinic. £65 all-inclusive. D4 form completed and signed on the day. Short-notice appointments available. Don’t let your licence lapse.

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