Driver Medicals

D4 Medicals Examinations for HGV, LGV & Lorry Drivers - From £45

First Medical Consultants is the UK’s leading provider of D4 medical examinations, offering professional DVLA-compliant assessments from just £45. Whether you’re applying for your first HGV or LGV licence, renewing an existing Group 2 licence, or require a PCV or lorry driver medical, our GMC-registered doctors deliver fast, thorough, and affordable D4 medicals at clinics across England including Manchester, Liverpool, Birmingham, Warrington, Telford, Cannock, and more

HGV Medical Only £45!

d4 medical

What is a D4 Medical?

A D4 medical officially known as the D4 Medical Examination Report is a mandatory health and fitness assessment required by the DVLA for all Group 2 licence holders. Group 2 licences cover vehicles over 3.5 tonnes and passenger-carrying vehicles, including lorries, HGVs, LGVs, buses, coaches, ambulances and certain minibuses. The examination must be completed by a GMC-registered doctor, and the completed D4 form submitted to the DVLA as part of your licence application or renewal. You may also hear it called an HGV medical, LGV medical, lorry driver medical or Group 2 medical they all refer to the same DVLA-required assessment.

A D4 medical is required for drivers of:

  • HGV and LGV vehicles (lorry licence)
  • PCV vehicles buses and coaches
  • C1 category vehicles ambulances and larger vans  C1 Ambulance Medical
  • D1 category vehicles minibuses and motorhomes over 3.5 tonnes D1 Motorhome Medical
  • Taxi and private hire vehicles in most local authority areas Taxi Medical

What's Included in the Examination?

Your D4 medical covers all areas assessed under the DVLA’s At a Glance Guide to the current Medical Standards of Fitness to Drive the official standard all Group 2 licence examinations must meet. The examination is carried out by one of our GMC-registered doctors and typically takes 20 to 30 minutes.

What the doctor checks:

  • Eyesight distance vision, field of vision and colour perception (glasses or contact lenses may be worn)
  • Blood pressure and cardiovascular health checked against DVLA Group 2 thresholds
  • Neurological assessment coordination, reflexes, and any history of epilepsy or blackouts
  • General health review including BMI, diabetes management and sleep conditions
  • Medical history questionnaire current medications, past conditions and ongoing treatment
  • Urine screening checked where clinically indicated

Your D4 form is signed by the doctor on the same day and is ready for DVLA submission. The full cost is £45 including the eye test with no hidden charges.

Book an HGV or D4 Medical Near You

We run regular D4 medical and HGV medical clinics at locations across England. All examinations are conducted by GMC-registered doctors experienced in DVLA Group 2 fitness assessments. Your complete D4 medical including eye test is £45 no hidden fees and your signed D4 form is ready for DVLA submission on the same day.
 
GP surgeries typically charge £80–£150 for a D4 medical with waiting times of several weeks. At First Medical Consultants you pay £45 with appointments available within days.
 
Find your nearest D4 medical clinic below or call us on 0331 6300 850 and we will find your nearest available appointment.

 

 

Your D4 Medical Doctors

Your D4 Medical Doctors

All D4 medical examinations at First Medical Consultants are conducted by our fully qualified GMC-registered doctors, experienced in DVLA Group 2 fitness to drive assessments.

Dr Ayyaz Sultan – Consultant Cardiologist, MBBS, MRCP, FRCP, FACC. GMC Number: 6049394

Dr Ali Hassan Cheema – Consultant Cardiologist. GMC Registered.

All examinations comply with the DVLA’s current Medical Standards of Fitness to Drive.

Meet our full medical team.

Are you looking for a HGV Medical near you?

We complete your entire D4 medical including the Eye test for Only £45. All our doctors are well accomplished in carrying out driver medicals and are registered with the General Medical Council. We take pride in ensuring an professional service.

We look forward to seeing you in one of our clinics. If you have any questions, feel free to visit our FAQ page here, or give our call centre a call on 0331 6300 850 where will be more than happy to help with your enquiry.

Whether you’re looking to book a D4 medical for lorry drivers or an HGV/LGV medical, schedule your appointment today at an affordable price.

To make a booking, please visit our online Booking page.

How often do I need a HGV medical?

The DVLA requires HGV and LGV drivers to pass D4 medicals at key points throughout their career. The same schedule applies to PCV, C1 and D1 licence holders.

  • First application a D4 medical is required before your provisional Group 2 licence is issued
  • Age 45 a medical is required at 45, then every 5 years until you reach 65
  • Age 65 and over an annual D4 medical is required to maintain your licence

Missing a renewal medical can cause your licence to lapse, meaning you cannot legally drive professionally until a new medical is passed and submitted to the DVLA. We recommend booking your D4 medical at least 6 weeks before your licence expiry date to allow time for DVLA processing.

How Long is the D4 Form Valid?

Your completed D4 form is valid for 4 months from the date signed by the examining doctor. 

You must submit it to the DVLA within this window if you miss the deadline, a new examination and a new form will be required. We recommend booking your D4 medical at least 6 weeks before your current licence expires to allow enough time for the DVLA processing period. If you do not have a D4 form, we keep spare copies available at all our clinics just let us know when you arrive.

Where are you located?

We run regular D4 medical and HGV medical clinics at locations across England. All clinics are staffed by GMC-registered doctors and offer same-day signed D4 forms ready for DVLA submission.

Find your nearest clinic click your city to view times, address and book your appointment:

Manchester · Liverpool · Birmingham · Warrington · Wolverhampton · Telford · Cannock · Crewe · Stoke-on-Trent · Rochdale · Derby & Nottingham · London

New clinic locations are added regularly. If your nearest city isn’t listed above, call our team on 0331 6300 850 and we’ll find your closest available appointment.

 

What do I need to bring to my medical?

  • Photo ID (licence/passport) 
  • D4 form (or get spare at clinic) 
  • Glasses/contacts if worn  Medication list Optician details
  • Medical history notes

Driving license or
Passport

D4 medical form – we have spares in our clinics

Your glasses or contact lenses if worn

A list of any medications that you take

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Frequently Asked Questions

Q: What is a D4 medical?

A D4 medical is the official DVLA health examination for professional drivers. Also called an HGV medical or Group 2
medical.

Q: Is a D4 medical the same as an HGV medical?

Yes, exactly the same. ‘D4 medical’ is the official DVLA form name; ‘HGV medical’ is the common term.

Q: How much does an HGV medical cost?

£45 at First Medical Consultants including eye test – one of the cheapest in the UK.

Q: Who can complete a D4 medical?

Any GMC-registered doctor. Doesn’t have to be your GP

Q: How long is a D4 medical valid?

4 months from the date signed.

Q: Where can I get a cheap HGV medical near me?

First Medical Consultants has nationwide clinics  Manchester, Birmingham, Liverpool, London and more.

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