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The HGV Medical – Everything you Need to Know

hgv medical form

The Heavy Goods Vehicle (HGV) medical test is a crucial step for drivers to ensure their fitness and safety while operating large vehicles.

The medical standards mandated for drivers operating Group 2 vehicles (lorries, buses and minibuses) are higher than those for drivers of Group 1 vehicles (cars and motorcycles). This is why the Heavy Goods Vehicle (HGV) medical test exists.

Before being issued their first HGV driver’s license, individuals must sucessfully undergo an HGV medical asessment.

When does the HGV Medical need to be taken?

The HGV medical is mandatory for obtaining and holding an HGV driver’s license. If you are under 45, the medical is valid until your 45th birthday. Subsequently, the test must be taken every 5 years until the age of 65, after which an annual assessment is required.

Additional prerequisites apply to individuals with restricted licenses, as well as to those with expired driving privileges for Group 2 vehicles in the UK, including Northern Ireland (NI), European Union (EU), and European Economic Area (EEA) license holders. Furthermore, applicants seeking a new Group 2 provisional license must meet specific supplementary requirements.

For precise information on HGV driver medical tests and the appropriate completion of form D4, please refer to the relevant details provided in the official gov.uk document.

Where to Take the Test

The test should be conducted at a doctor’s surgery or with a licensed doctor present. General Medical Council (GMC) registered NHS GPs and most private doctors can perform the test. Book a pre-scheduled appointment, as the routine examination takes 30 to 45 minutes.

What to Expect at the HGV Medical Assessment

  1. General Health Discussion: Share relevant information about your health and any potential issues affecting your ability to drive.
  2. Visual Assessment: Check eyesight standards for driving, including reading a number plate from 20 yards away.
  3. Formal Medical Assessment: Covers various aspects, including neurological conditions, mental health, heart conditions, diabetes, sleep disorders, and alcohol/drug use.

Completing and Submitting the HGV Medical Form

After the medical, your doctor will sign form D4. Send it to the DVLA with your driving license or application form. The address is DVLA, Swansea, SA99 1BR. Ensure all forms are submitted together to avoid delays.

Cost of HGV Medical Test

The DVLA does not set a fixed fee for the test. Costs vary by doctor’s surgeries. Some NHS surgeries may not charge, but private doctors often charge fees.


Numerous drivers discover that opting for a private HGV medical appointment is a worthwhile investment. This is because most National Health Service (NHS) doctors often have extended waiting periods and may still charge a fee. Choosing a private doctor can often be more cost-effective and generally results in a quicker completion of the required form compared to NHS alternatives.

Frequently, the responsibility for covering the cost of the HGV medical falls on the driver. However, certain employers may have policies in effect that either partially or fully cover these fees. This aspect should be subject to discussion between you and your employer.

Validity Period of HGV Medical

For those under 45, the medical is valid until the 45th birthday. Renew it every 5 years until 65, after which an annual assessment is required. If you don’t yet have an HGV license and haven’t passed the driving test within 4 months, you need to retake the medical.

Additional Considerations

Bring the completed D4 form, driving license, counterpart, and details of any medication to the medical. Drivers must report changes in their medical condition promptly to the DVLA. Keep track of when your medicals are due, and expect a reminder letter from the DVLA every 5 years.

Frequently Asked Questions

Q1: Is there a charge for the HGV medical test?

A: The DVLA doesn’t set a fixed fee. Costs vary by doctor’s surgeries. Some NHS surgeries may not charge, but private doctors often charge fees. Private Medical Clinic charges £95 for a quick and easy HGV (D4) Medical.

Q2: How long is the medical valid?

A: For those under 45, the medical is valid until the 45th birthday. Renew it every 5 years until 65, after which an annual assessment is required.

Q3: What should I bring to the HGV medical?

A: Bring the completed D4 form, driving license, counterpart, and details of any medication.

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