Bring your glasses or contact lenses and your current prescription, a list of your medicines, and details of any condition you are under a doctor for. If you have had laser eye surgery, bring the report. The doctor works through the D4 form with you, examines you, tests your eyesight, and signs the form at the end of the appointment. You take it away with you.
The D4 is the DVLA medical examination report for Group 2 licences: lorries, buses and coaches. It has to be completed by a doctor and submitted with your licence application or renewal.
Your medical history is reviewed, you are examined, your eyesight is tested, and the form is filled in and signed on the day.
The form asks the examining doctor about conditions you have had and medicines you take, and about whether they had access to your records. A private clinic does not hold your NHS notes, so what you bring is what the doctor has to work from. A printed repeat prescription list and a summary from your GP make the appointment considerably easier.
You send the completed D4 to DVLA yourself with your application. We do not submit it for you.
Tested at the appointment, to Group 2 standards, which are stricter than the standards for a car licence. Bring your glasses or contacts and your current prescription. If you wear them to drive, wear them to the test.
Blood pressure is measured and your cardiovascular history reviewed. If your reading is high on the day, that is worth knowing regardless of the licence.
Recorded on the form, and relevant to the sleep apnoea questions below.
Control is assessed, and the rules for Group 2 are stricter than for a car licence, particularly for drivers on insulin. Bring your monitoring records.
Reflexes, mobility, and any history of blackouts, fits or strokes.
Reviewed as part of the history, including any medicine that could affect alertness at the wheel.
Book before your licence lapses, not after. A Group 2 entitlement that expires while you wait for an appointment means time off the road, and it is avoidable. Most drivers book six to eight weeks ahead of the renewal date.
Most drivers pass. The ones who do not are usually caught by something that could have been sorted out beforehand.




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£75, covering D4 and D2 medicals, with the form completed and signed on the day.
Yes. The doctor completes and signs it at the appointment and you take it with you.
Your glasses or contact lenses and current prescription, a list of your medicines, details of any condition you are treated for, and any laser eye surgery report.
Yes, at the appointment. There is no separate optician visit.
A very high reading on the day can prevent the form being signed. If you know yours runs high, have it reviewed first.
Yes. PCV and PSV are Group 2 licences and use the same D4 medical.
No. Taxi and private hire medicalsare set by your licensing council and often use the council’s own form. Theyare booked separately.
20 to 30 minutes.
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