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Why HGV Drivers Need a D4 Medical Form: Requirements, Process & Validity Explained

Why Do HGV Drivers Need a D4 Medical?

Driving Heavy Goods Vehicles (HGVs) in the UK is a demanding responsibility that requires excellent health and full concentration. As a result, the Driver and Vehicle Licensing Agency (DVLA) requires HGV drivers to complete a D4 medical examination to prove they’re medically fit to operate large vehicles.

Whether you’re a new applicant or renewing your licence, you must submit the D4 form, as it plays a vital role in your application.

What Is the D4 Medical Form?

The D4 medical form is a standard form provided by the DVLA that records your medical assessment results. A GMC-registered doctor must complete the form, and you must submit it with your licence application or renewal.
 
The form includes sections covering:
Vision
Medical history
Physical health
Medications
Conditions affecting driving safety
 
You can download the D4 form from the DVLA website. or by clicking here

When Is a D4 Medical Required?

• Applying for a new HGV (Category C, C1, or C+E) or PCV (D, D1) licence
• Renewing your Group 2 licence at the age of 45 or above
• Renewing your licence every 5 years between ages 45 and 65
• Renewing your licence annually if you are 65 or older
• Converting a car licence to a Group 2 licence for professional driving

What Happens During a D4 Medical?

The D4 medical exam usually takes about 20 minutes and involves:

1. Vision Test

Done with and without glasses/contact lenses
Uses a Snellen chart
Checks for clarity, field of vision, and corrective lenses

2. Health History Review

Doctor will ask about:
Epilepsy
Heart conditions
Sleep disorders (e.g. sleep apnoea)
Mental health
Diabetes
Alcohol/drug use

3. Physical Examination

Blood pressure check
Neurological reflexes
Cardiovascular and muscular evaluation
Review of any ongoing medication

What Documents Do You Need for Your D4 Medical?

To make the process smooth, bring:
Valid photo ID (e.g., driving licence or passport)
Any glasses/contact lenses you use for driving
Your prescription if applicable
A list of medications you’re taking
Your DVLA D4 form (can be downloaded here and printed or provided by the clinic)
 
At Driver Medical Test, we provide the D4 form and help complete it correctly.

How Long Is the D4 Medical Form Valid?

Once completed, your D4 medical form is valid for 4 months from the date of the exam.
Therefore, you must submit it to the DVLA within this period to avoid delays or re-testing.
 
For renewals:
Every 5 years from age 45
Annually after 65
 
Make sure you plan in advance to avoid expiry issues.

What If You Have a Pre-Existing Condition?

Having a medical condition doesn’t always mean you can’t get a licence. The DVLA will assess your case based on:
Condition type
Control and treatment (e.g., controlled diabetes or hypertension)
Risk to safe driving
 
You may be asked for additional documents, such as reports from a GP or specialist.

FAQs About D4 Medicals for HGV Drivers

Do I need a D4 medical for a car licence?

No. D4 medicals are only required for Group 2 licence categories such as HGV and PCV.

Can my GP fill out the D4 form?

Yes, but many GPs are unavailable or charge more. Private clinics like Driver Medical Test 

offer faster, more affordable services.

How often will I need to retake the medical?

At age 45, then every 5 years

From age 65, every year

Can I wear glasses during the eyesight test?

Yes, but you must meet the minimum eyesight standard with correction.

 

Why Choose Driver Medical Test for Your HGV Medical?

At Driver Medical Test, we make it easy for HGV drivers to complete their D4 medical without delays or high costs.

What we offer:

GMC-registered doctors

Various clinics in UK cities

Evening and weekend availability

D4 form provided and completed on-site

Affordable prices (often cheaper than GPs and other providers)

Fast turnaround for urgent renewals

Free Re-Test two times, if you fail

Our clinics are trusted by HGV, PCV, taxi, and private hire drivers across the UK.

Book Your D4 Medical Today

So, don’t wait for your renewal deadline to creep up. Instead, get your medical done now — fast, affordable, and DVLA-compliant.

Firstly, To make things easier, book your D4 medical appointment today with Driver Medical Test and stay road-legal without the stress.

Book your test now

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