Appropriate starting point
You need a D4 medical report for a Group 2 lorry or bus licence application, renewal or entitlement requested by DVLA.
Driver medicals
HGV & bus driver medicals.
A careful in-person D4 medical examination for a new, renewed or restored Group 2 lorry or bus licence entitlement.
Send only the report type and your contact details by ordinary email. We will explain the secure route for forms and medical information.
GMC-registered doctorsIndependent clinical judgement
CQC-registered serviceCare within a regulated setting
Manchester-based care22 Oxford Court, Manchester
Check the route
Is this the right service?
A quick check before booking avoids the most common delays: the wrong form, missing records or a request that needs another clinician or organisation.
Check first
You have a complex medical history, recent hospital care or a condition that may require reports or further tests before the form can be completed.
Different route
You need a taxi medical, an occupational medical or another authority’s form rather than the DVLA D4 report.
Clinical review
What the doctor considers.
The D4 is a structured medical report, not simply a signature. The doctor must use the current DVLA form and Group 2 medical standards, record the examination accurately and state when further evidence is needed.
A report, certificate or referral is not guaranteed. The clinician must be able to support every statement from the information and examination available.
01
Your medical history
Relevant neurological, heart, diabetes, sleep, mental health, substance use and other conditions are reviewed against the form.
02
Medicines and treatment
Bring an accurate current medication list and details of treatment, monitoring or specialist follow-up.
03
Measurements and examination
The appointment includes the observations and examination required by the current D4, including blood pressure.
04
Eyesight
The vision section must meet the D4 instructions. An optician or optometrist may need to complete it.
Prepare well
Bring the evidence, not just the form.
The right documents help the doctor answer accurately and reduce the chance of a second appointment.
What to provide
- The latest printed D4 medical examination report
- Your photocard driving licence or other accepted photo ID
- Glasses or contact lenses used for driving and recent optical information
- A complete current medication list
- Relevant hospital letters, test results and a medical summary if we do not hold your records
Important limits
- Use the current form: DVLA updates D4 and INF4D from time to time
- Tell us before booking if the vision section has not been completed
- Missing records or abnormal findings may mean the form cannot be completed that day
- You are responsible for sending the completed application to DVLA
- DVLA—not the examining doctor—decides the licence outcome
From request to document
A clear four-step process.
We check the request before confirming an appointment, so you know the format, evidence and cost in advance.
Check
Confirm that DVLA requires a D4 and download the current form.
Prepare
Arrange any optical section and gather the records listed above.
Attend
Meet the doctor in person for the medical history and examination.
Submit
If complete, check the form and send it with the documents DVLA requires.
Useful answers
Before you enquire.
Requirements vary, but these principles help you prepare for the right appointment.
Can any doctor complete a D4?
The D4 must be completed by a doctor. GOV.UK says this may be your GP or a private firm specialising in driver medical examinations. The doctor must have enough information to answer the form safely.
Can the doctor complete the eyesight section?
Some doctors can complete both sections. If the doctor cannot fully answer the vision questions, DVLA requires an optician or optometrist to complete that part.
Do I also need a D2 form?
For a provisional HGV or bus entitlement, GOV.UK says applicants complete both D2 and D4. Your exact application documents depend on what you are applying for, so check the current DVLA instructions.
Will a completed D4 guarantee my licence?
No. The doctor records the medical information and examination findings. DVLA makes the licensing decision and may request further information.
Can this be done by video or telephone?
No. A D4 includes physical measurements and examination, so it requires an in-person appointment.
Request an appointment
Let us check the request first.
Email the report type, the organisation requesting it and your contact details. Please do not include medical information in ordinary email. We will reply with the secure next step and confirm suitability, what to bring, the fee and appointment length before booking.
General enquiries
A working contact route for medical reports and private referrals.
Emailinfo@allhoursgp.com
Address22 Oxford Court,
Manchester
Manchester
Before bookingRequest review required
Official guidance used for this page:
DVLA D4 form and INF4D ↗GOV.UK provisional HGV or bus licence guide ↗DVLA fitness-to-drive guidance ↗
This service information does not replace the instructions of DVLA, a licensing authority, employer, insurer, specialist provider or other receiving organisation.