What Is a D4 Medical?
The examination is carried out by a GMC-registered doctor and is submitted along with the official DVLA D4 form. Whether you are a first-time HGV applicant, renewing your licence at age 45, or applying for a taxi/private hire licence, the D4 Medical is an essential step.
Who Needs a D4 Medical?
You will need to book a D4 medical examination if you are:
What Does the D4 Medical Involve?
During your appointment, a doctor will carry out several health checks, including:
- Vision test (eyesight requirements for drivers).
- Blood pressure and cardiovascular health.
- Neurological checks (for conditions like epilepsy or sleep disorders).
- Diabetes screening.
- Mental health and medication review.
- General medical history review.
The doctor then completes and signs your DVLA D4 Form, which you must send to the DVLA with your licence application.
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How Much Does a D4 Medical Cost in the UK?
The cost of a D4 Medical in 2025 varies depending on location and provider:
- Private clinics: £50 – £80.
- Some GPs: £.90 – £120 (often higher).
Specialist medical centres: competitive packages for HGV, taxi & private hire drivers.
Always compare prices locally. Many private clinics offer same-day appointments and much lower fees than GP surgeries.
When Should You Book a D4 Medical?
At least 3 months before licence expiry (to avoid delays).
For new drivers, book once you receive your provisional D2/D4 application pack.
Taxi and private hire drivers should confirm with their local council (e.g., Wolverhampton Taxi Medical, South Holland Taxi Medical, Charnwood Council Taxi Medical, South Kesteven Taxi Medical) as requirements differ.
Why Choose a Private Clinic for Your D4 Medical?
- Faster appointments with flexible hours.
- Lower costs compared to GP surgeries.
- Doctors experienced in completing D4 forms accurately (reduces DVLA rejections).
- Same-day reports for HGV and taxi medicals.
Common Questions About the D4 Medical
1. How long is the D4 Medical valid for?
- For HGV drivers under 45: valid until age 45.
- After 45: renewal every 5 years.
- After 65: renewal every year
2. Can I use my GP for the D4 Medical?
Yes, but many GPs charge significantly more and have longer waiting times.
3. Is an eye test included?
Yes – but some clinics may ask you to bring an optician’s report if you wear corrective lenses.
4. Do taxi drivers need a D4 medical?
Yes – most UK councils require a D4 medical or a similar taxi medical examination for private hire and hackney carriage drivers. Always check your local council’s rules.
Final Note
Whether you’re applying for an HGV licence, renewing a taxi/private hire badge, or submitting your DVLA D4 form, booking a D4 Medical with an experienced clinic saves you time, money, and stress.
Book your appointment today and ensure your D4 Medical examination is completed correctly the first time.
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