How Much Does a D4 Medical Cost in the UK and What’s Included?
If you’re renewing or applying for an HGV, LGV, PCV, or taxi licence, you’ll need to complete a D4 medical as required by the DVLA. But how much does a D4 medical cost in the UK, and what exactly do you get for your money?
This guide breaks down D4 medical costs, explains what’s included in the exam, and shows you how to save money when booking your appointment.

At a Glance: D4 Medical Cost and What’s Included:
- The average D4 medical cost in the UK ranges between £50 and £100.
- Prices vary depending on the clinic, location, and whether you book privately or through your GP.
- The medical includes vision checks, blood pressure, heart and neurological screening, and a review of your medical history.
- You’ll need your D4 form, driving licence, and glasses (if worn) for the appointment.
- Booking online with a specialist clinic like First Medical Consultants is often quicker, cheaper, and DVLA-approved.
What is a D4 Medical and Why Do You Need It?
A D4 medical is a mandatory health check required by the DVLA for professional drivers — including HGV, LGV, PCV, and some taxi or ambulance drivers. It confirms that you meet the medical standards to drive safely.
You’ll need a D4 medical when:
- Applying for your first HGV, bus, or lorry licence
- Renewing your licence at age 45 (and every 5 years after)
- Renewing annually after age 65
Only a GMC-registered doctor can complete your D4 medical form, which is then sent to the DVLA as part of your licence application.
Average Cost of a D4 Medical in the UK:
The average cost of a D4 medical in the UK typically falls between £50 and £100. Prices can vary for several reasons:
- Private clinics vs GP surgeries: Private providers like First Medical Consultants often offer lower prices and faster appointments than GP surgeries.
- Location: Medicals in larger cities may cost slightly more due to higher overheads.
- Added services: Some providers include extras such as digital form submission or eye tests within the price
👉 Book Your D4 Medical Online – Fast appointments, nationwide clinics, and affordable fixed pricing.
What’s Included in the D4 Medical Exam?
Your D4 medical covers all the checks needed to meet DVLA standards. You can expect:
- Vision test: Checks eyesight and peripheral vision.
- Blood pressure measurement: Ensures safe driving limits.
- Medical history review: Covers existing conditions and medications.
- Neurological and cardiovascular assessment: Screens for issues affecting coordination or heart health.
- Urine test (if required): Checks for diabetes or other underlying health issues.
Your doctor records the results on the official D4 form, ensuring it meets all DVLA requirements for professional drivers.
How to Save Money on Your D4 Medical?
If you’re looking to keep costs down, try these simple tips:
- Book with a private medical provider: Private clinics like First Medical Consultants often charge less than your GP and have shorter waiting times.
- Plan ahead: Booking early before your licence renewal can help you secure the best price and avoid last-minute rush fees.
- Fleet or group bookings: Some providers offer discounts for companies booking multiple drivers.
These small steps can make your D4 medical cost more affordable while ensuring you stay compliant with DVLA regulations.
What to Bring to Your Appointment?
To make your appointment quick and easy, bring the following:
- Completed D4 form (downloadable from the DVLA website)
- Valid driving licence or photo ID
- Glasses or contact lenses (if you wear them)
- Medication list and any relevant hospital or specialist letters
Having these ready helps your doctor complete the form accurately on the day.
What Happens If You Miss Your Medical Deadline?
If you don’t complete your D4 medical in time, your licence renewal may be delayed, and you could lose your eligibility to drive professionally until it’s updated. It’s best to book your appointment at least a month before your licence expires to avoid downtime or missed work opportunities.
Next Steps: Book Your D4 Medical Today
You can book your D4 medical quickly and affordably with First Medical Consultants. Our nationwide network of doctors is DVLA-approved, and appointments are available at flexible times to suit your schedule.
👉 Book Your D4 Medical Now — Fast, reliable, and affordable driver medicals across the UK. Or visit your nearest clinic in Manchester, Birmingham, or London.
FAQ: D4 Medical Costs and What’s Included
How much does a D4 medical cost in the UK?
The typical D4 medical cost in the UK ranges between £50 and £100, depending on the clinic and location. Private medical providers usually offer competitive prices and faster booking compared to local GPs. Always check whether the provider includes all tests in their quoted price to avoid surprises.
Is a D4 medical cheaper privately?
Yes, booking privately is often cheaper and quicker. Many GP surgeries charge more or have longer waiting times, while private clinics like First Medical Consultants provide same-day or next-day appointments at a fixed, transparent cost. This makes private D4 medicals a popular choice for professional drivers.
What is included in a D4 medical test?
A D4 medical includes an eyesight test, blood pressure measurement, neurological and heart health checks, and a review of your medical history and medications. The doctor may also perform a urine test if needed. All findings are recorded on your D4 form for DVLA submission.
Can I do a D4 medical with my GP?
Yes, you can book a D4 medical with your GP, but many GPs charge more and have longer waiting lists. As an alternative, you can book with a private provider who is still fully qualified to complete your D4 form. This option is often faster, more convenient, and just as valid for DVLA purposes.