Occupational health library

You will need D4 medical examination for HGV/LGV drivers:

• When applying for or renewing a Group 2 (HGV/LGV) driving licence.
• Every 5 years from age 45 and annually from age 65.
• At DVLA's request and if you have certain medical conditions.

The D4 Medical Form must be completed by an occupational health (OH) doctor or your GP.

Use our booking page.

Download DVLA D4 Form.

Complete the grey sections of the D4 Form

Bring your prescriptions and driving glasses prescriptions if applicable.

On completion, the doctor will give you the completed D4 Form to be posted to DVLA.

Two forms of identification (e.g., driver's license and a recent bill)

Completed D4 Medical Examination Form. Complete the grey sections of the D4 Form.

Bring your prescriptions and driving glasses prescriptions if applicable.

Yes, you will still need a D4 Medical.

You must tell DVLA if you have a ‘notifiable condition’ using the GOV.UK website: diabetes (or taking insulin), syncope (fainting), heart conditions (including atrial fibrillation and pacemakers),  sleep apnoea, epilepsy, stroke, glaucoma.

The doctor will assess your fitness to drive according to DVLA guidelines and complete the D4 form. If your condition requires further information, DVLA may contact your GP or specialist.

You may read DVLA A-Z Guide about medical conditions and our Medical Conditions and LGV/HGV Driving Guide

If you are uncertain, it is always best to seek advice. Consult your GP or occupational health.

Questions? Get in touch

The D4 medical costs £100.

Appointments are available in 1-2 days. Click here to book.

You must tell DVLA if you have a ‘notifiable condition’ using the GOV.UK website.

✱ diabetes (or taking insulin)

✱ syncope (fainting)

✱ heart conditions (including atrial fibrillation and pacemakers)

✱ sleep apnoea

✱ epilepsy

✱ stroke

✱ glaucoma

Read DVLA A-Z Guide about medical conditions.

Read our Medical Conditions and LGV/HGV Driving Guide

If you are uncertain, it is always best to seek advice. Consult your GP or occupational health.

Questions? Get in touch

Check if your condition needs reporting: use the DVLA’s online guide at DVLA Medical Conditions or consult your GP or occupational health (OH) doctor.

You may also contact DVLA.

If you are unsure, you may contact your GP, the manager or occupational health.