Medicals and certificates.

At your appointment a doctor works through the following, and you leave with what it produces:

• Clinical examination: The examination the certificate type requires. ECG, spirometry, grip strength and Snellen-chart vision check available where the certificate calls for them.

• The certificate: Completed at the consultation. In your hand when you leave (in person) or sent on the day (video or phone).

• Covering letter: To your employer, school, insurer, or solicitor where useful. Drafted in the consultation, sent on the day.

• Drug screening (where required): Additional charge confirmed at the consultation before any test is sent.

• Not provided on site: Formal audiometry and lens-prescription vision testing. We tell you which provider to use; we don't arrange these.

Grouped by purpose so you can find yours quickly. Minimum-age notes are set by the licensing or regulatory body, not by us.

Driver medicals

• D4 (HGV / Group 2 LGV: 18+ provisional, full licence usually 21+; PCV: 21+; ambulance: 18+)

• TfL Taxi Private Hire (TPH) medical (21+)

• TfL 204 / DVLA Group 2 renewal (any age in licence)

• Taxi medical (local authority, non-TfL; typically 21+)

• Bus driver medical (21+, same as PCV)

• Motorsport medical (Motorsport UK / MSA)

Employment medicals

• Pre-employment medical (16+, working age)

• Fitness to work assessment

• Return-to-work assessment

• Sickness absence assessment

• Night worker health assessment (18+, Working Time Regulations)

• Safety-critical worker medical

• Working at height medical

Fit-to-fly and fit-to-travel

• Fit-to-fly certificate (any age, including newborns)

• Fit-to-fly in pregnancy

• Fit-to-fly post-surgery or post-illness

• Fit-to-cruise certificate

• Travel certificate for medication carriage

Fit-to-perform

• Sports medical (any age; under-16s need parent or guardian present)

• Boxing medical (14+ amateur licensing under England Boxing; professional 18+)

• Marathon medical

• Gym induction medical

• SCUBA fit-to-dive (junior 8-10, standard open-water from 15)

School, care home, and adoption

• School medical (boarding, university, gap year)

• Care home medical

• Adoption medical (adopting adults)

Insurance, legal, and specialist

• Insurance medical

• Personal injury (PI) report

• COP3 mental capacity assessment (usually 18+)

• Firearms licence medical (shotgun 18+, firearm certificate 14+ with restrictions, full grant 18+)

Quick paperwork

• Fit note (sick note)

• Letter to employer, school, insurer, or solicitor

What we cannot do

A small number of medicals require designated providers. If yours is on this list, please book directly with an approved provider.

• CAA Class 1 pilot medical: must be done at a CAA-approved AeMC or by an AME.

• ENG1 seafarer medical: must be done by an MCA-approved doctor.

• HSE diving medical: must be done by an HSE-approved diving doctor.

£120 for a 15-minute consultation and certificate; £180 for a 30-minute appointment (D4, TfL TPH, SCUBA, motorsport).

• 15-minute consultation and certificate: £120

• 30-minute consultation and certificate: £180

• Covering letter, report, or form: included

• ECG / spirometry / grip strength (where required): included

• Snellen vision check: included

• Drug screen / additional bloods: additional charge, confirmed at consultation

• Formal audiometry / lens-prescription: not provided; we'll tell you which provider to use

You pay after your consultation in person. Video and phone consultations are paid at booking. You book your appointment, see the doctor, get your certificate. We tell you about any additional costs at the consultation. You settle the bill on the day.