D4 medical for HGV, LGV and PCV.

A doctor works through the DVLA Group 2 standard and completes your D4 form at the appointment. That means a vision check on the Snellen chart, a blood pressure reading, a urine dipstick for glucose and protein, and a look at your heart, chest, nervous system and general fitness to hold a professional licence. If you have a condition the DVLA takes an interest in, such as diabetes, a heart condition or a sleep disorder, the doctor records the detail the form asks for.

The D4 does not need your full GP records, though bringing a summary helps if your history is complex. If any finding falls short of the Group 2 standard, the doctor will tell you plainly and, where it helps, point you to DVLA medical enquiries rather than leave you guessing.

Bring photo ID, your glasses or contact lenses if you wear them, a list of your current medicines, and your GP summary from the NHS App if your medical history is involved.

£180 for a 30-minute appointment and certificate. Any bloods, ECG or drug screening are an additional charge, confirmed with you at the consultation before anything is sent. You pay after your consultation in person; video and phone consultations are paid at booking.