The HGV Medical - Everything you Need to Know

HGV Medical Report

The Heavy Goods Vehicle (HGV) medical test is a crucial step for drivers to ensure their fitness and safety while operating large vehicles.

The medical standards mandated for drivers operating Group 2 vehicles (lorries, buses and minibuses) are higher than those for drivers of Group 1 vehicles (cars and motorcycles). This is why the Heavy Goods Vehicle (HGV) medical test exists.

Before being issued their first HGV driver's license, individuals must sucessfully undergo an HGV medical asessment.

Book A HGV / Taxi Medical

When does the HGV Medical need to be taken?

The HGV medical is mandatory for obtaining and holding an HGV driver's license. If you are under 45, the medical is valid until your 45th birthday. Subsequently, the test must be taken every 5 years until the age of 65, after which an annual assessment is required.

Additional prerequisites apply to individuals with restricted licenses, as well as to those with expired driving privileges for Group 2 vehicles in the UK, including Northern Ireland (NI), European Union (EU), and European Economic Area (EEA) license holders. Furthermore, applicants seeking a new Group 2 provisional license must meet specific supplementary requirements.

For precise information on HGV driver medical tests and the appropriate completion of form D4, please refer to the relevant details provided in the official gov.uk document.

Where to Take the Test

The test should be conducted at a doctor's surgery or with a licensed doctor present. General Medical Council (GMC) registered NHS GPs and most private doctors can perform the test. Book a pre-scheduled appointment, as the routine examination takes 30 to 45 minutes.

What to Expect at the HGV Medical Assessment

  1. General Health Discussion: Share relevant information about your health and any potential issues affecting your ability to drive.
  2. Visual Assessment: Check eyesight standards for driving, including reading a number plate from 20 yards away.
  3. Formal Medical Assessment: Covers various aspects, including neurological conditions, mental health, heart conditions, diabetes, sleep disorders, and alcohol/drug use.

Completing and Submitting the HGV Medical Form

After the medical, your doctor will sign form D4. Send it to the DVLA with your driving license or application form. The address is DVLA, Swansea, SA99 1BR. Ensure all forms are submitted together to avoid delays.

Cost of HGV Medical Test

The DVLA does not set a fixed fee for the test. Costs vary by doctor's surgeries. Some NHS surgeries may not charge, but private doctors often charge fees.


Numerous drivers discover that opting for a private HGV medical appointment is a worthwhile investment. This is because most National Health Service (NHS) doctors often have extended waiting periods and may still charge a fee. Choosing a private doctor can often be more cost-effective and generally results in a quicker completion of the required form compared to NHS alternatives.

Frequently, the responsibility for covering the cost of the HGV medical falls on the driver. However, certain employers may have policies in effect that either partially or fully cover these fees. This aspect should be subject to discussion between you and your employer.

Validity Period of HGV Medical

For those under 45, the medical is valid until the 45th birthday. Renew it every 5 years until 65, after which an annual assessment is required. If you don't yet have an HGV license and haven't passed the driving test within 4 months, you need to retake the medical.

Additional Considerations

Bring the completed D4 form, driving license, counterpart, and details of any medication to the medical. Drivers must report changes in their medical condition promptly to the DVLA. Keep track of when your medicals are due, and expect a reminder letter from the DVLA every 5 years.

Frequently Asked Questions

Q1: Is there a charge for the HGV medical test?

A: The DVLA doesn't set a fixed fee. Costs vary by doctor's surgeries. Some NHS surgeries may not charge, but private doctors often charge fees. Private Medical Clinic charges £95 for a quick and easy HGV (D4) Medical.

Q2: How long is the medical valid?

A: For those under 45, the medical is valid until the 45th birthday. Renew it every 5 years until 65, after which an annual assessment is required.

Q3: What should I bring to the HGV medical?

A: Bring the completed D4 form, driving license, counterpart, and details of any medication.

Same Day Online Booking

Book your consultation online with our easy online booking form.

No Time Limits Appointments

Confidential same-day consultations with no time limits. Discuss your health concerns with an experienced doctor in a private and relaxing space.

Online Consultations Available

Same-day telephone or video consultations provide instant access to doctors. Prescriptions, medical certificates, referral letters & sick notes are available.

Latest Blog Posts

Girl saying no to bread
Health

Coeliac Disease: Causes, Symptoms, and How We Can Help

For individuals with coeliac disease, eating gluten causes the immune system to attack the lining of the small intestine.
Young girl patient holding breast
News

Women Left ‘Traumatised’ After Breast Cancer Treatment Failures at NHS Trust - Over 200 Cases Under Review

A major NHS Trust in north-east England is under intense scrutiny after multiple women reported harmful and distressing experiences during their breast cancer care.
Baby lying on a medical bed with visible red rash spots on the body, examined by a healthcare professional wearing blue gloves.
News

From 2026, Chickenpox Vaccine Will Be Part of NHS Childhood Jabs

The NHS has confirmed that from January 2026, the chickenpox (varicella) vaccine will become part of the routine childhood immunisation schedule in England.
Side view diabetic woman checking her glucose level
Health

Think You Know Diabetes? Discover the 5 Types, Signs to Watch For, and How to Get Tested!

Diabetes is one of those conditions we've all heard of, but few of us truly understand how many types there are, what the warning signs look like, or how to get tested properly.
Close up girl and therapist high five
Awareness

ADHD Support for Parents in the UK: Assessments, Tips, and Effective Parenting Techniques

Raising a child with ADHD can be both rewarding and exhausting. Whether you're looking for an ADHD assessment for children, practical parenting techniques for ADHD, or simply ADHD support for parents UK.
Medium shot tired woman at job
Mental Health

How to Get Diagnosed with ADHD in the UK

If you've been struggling with focus, impulsivity, or hyperactivity, you might be wondering if you have Attention Deficit Hyperactivity Disorder (ADHD). Getting a diagnosis can be a game-changer, offering clarity and access to treatment that can improve daily life.

Ready to take the next step?

Whether you're seeking advice or ready to book a consultation, we’re here to help. Explore our services or connect with a care professional today.