HGV Medical Examinations in London
D4 medicals from £75, same-day appointments in Marylebone
Book an HGV medical examination in London at our private clinic in Marylebone. Our GMC-registered GPs carry out D4 medical examinations for HGV and LGV drivers across London and the South East, with same-day appointments available. The examination covers all DVLA Group 2 requirements, including vision, blood pressure, cardiovascular and neurological assessment, and we sign and issue your completed D4 form at the end of the appointment.
Dr Simon Khela
Consultant Private GP and Medical Director
- Qualification :
- MBChB MRCGP
- GMC :
- 7419585
- Last reviewed :
- November 2026
What Your London D4 Medical COVERS
A GMC-registered GP carries out your D4 medical examination and covers every check the DVLA requires for a Group 2 licence. Your completed D4 form is issued at the appointment, ready to submit.


- Vision test to DVLA Group 2 standards, including acuity and field of vision.
- Blood pressure and heart rate.
- Cardiovascular assessment.
- Respiratory function.
- BMI and general physical examination.
- Neurological assessment.
- Medical history review, including any conditions declared to the DVLA.
- D4 form completed and signed, ready to submit to the DVLA.
HGV Medical Requirements FOR LONDON DRIVERS

HGV Medical Requirements FOR LONDON DRIVERS
London has one of the largest concentrations of HGV and LGV drivers in the UK, serving freight and distribution networks across the city, the M25 corridor, and major logistics hubs including Heathrow and the Port of Tilbury. All Group 2 licence holders face stricter medical standards than car drivers.
A D4 medical is required when applying for a first HGV or LGV licence; when renewing a Group 2 licence (every five years until age 45, every five years from 45 to 65, then annually from 65); if the DVLA requests one following a health change; or if an employer requires a periodic health check.
A GMC-registered doctor must carry out the examination. No NHS GP referral is needed. Our Marylebone clinic is centrally located and accessible from across London, with no waiting list and same-day appointments available. Your D4 form is completed and signed on the day.
The D4 Medical Form EXPLAINED
The D4 Medical Form EXPLAINED
The D4 is the DVLA’s official medical examination report for Group 2 licences. Your doctor fills it in at your London appointment and signs it. You keep a copy and send the original to the DVLA with your licence application or renewal.
Vision. You need a minimum acuity of 6/9 in the better eye and 6/12 in the other, with or without corrective lenses. Field of vision must also meet Group 2 standards.
Blood pressure. Readings must be below 180/100 mmHg at the time of examination. A reading at or above this level may require treatment before the licence can be issued.
Cardiovascular and neurological history. Conditions including angina, previous heart attacks, seizures, blackouts and TIAs are assessed. Some require a symptom-free period before a licence can be granted.
Other health conditions. Diabetes, sleep apnoea, renal disease and certain psychiatric conditions are relevant to Group 2 standards and documented accurately on the form.

Preparing for Your London HGV MEDICAL

Preparing for Your London HGV MEDICAL
To help your appointment run without delay, bring the following to our Marylebone clinic:
Your current driving licence, including the paper counterpart if applicable.
A list of your regular medication, with the dose and the prescribing doctor’s name.
Your glasses or contact lenses, if you use them for driving.
Details of any conditions already declared to the DVLA.
Your D4 form if downloaded from gov.uk, though we provide one at the appointment if needed.If a condition may affect your Group 2 fitness, such as diabetes, a previous cardiac condition or a neurological history, mention this when booking. Your doctor may need extra time and could ask for a recent specialist letter.
For working drivers, timing your renewal carefully matters. We recommend booking at least four weeks before your licence expires to give the DVLA enough time to process your application after you submit your D4 form.
What Happens at Your London HGV MEDICAL
- Step 1
Book online or by phone.
Choose a time online for immediate confirmation, or call our Marylebone team directly.
- Step 2
Arrive in Marylebone.
The clinic is easy to reach by underground, rail or bus from across London.
- Step 3
Meet your doctor.
A GMC-registered GP will carry out your D4 examination at your pace.
- Step 4
Complete the examination.
We assess vision, blood pressure, cardiovascular, respiratory, and neurological health, covering all DVLA Group 2 requirements.
- Step 5
Receive your D4 form.
Completed, signed and handed to you before you leave.
- Step 6
Follow-up if needed.
Our team is available if any questions arise after your appointment.
HGV Medical PRICING IN LONDON
HGV medical examinations at our London clinic start from £75. Your D4 form is included, with no extra fees on the day.
| Service | Price |
|---|---|
| Flu Vaccine | £35 |
| Chickenpox Vaccine (Two doses given 8 weeks apart) | £95 |
| Shingles Vaccine | £250 |
| Yellow Fever Vaccine (Includes Certificate) | £95 |
| Hepatitis A (Booster after 6-12 months) | £50 |
| Typhoid (Covers for 3 years) | £50 |
| Diptheria, Tetanus & Polio (Covers for 10 years) | £50 |
| Malaria Prescription | £25 |
| Hepatitis B (Course of 3 vaccines - £195) | £65 |
| Rabies (Course of 3 vaccines - £195) | £65 |
| Japanese Encephalitis (Course of 2 vaccines - £280) | £140 |
| Meningitis ACWY (Covers for 3-5 years) | £75 |
| Cholera (Course of 2 vaccines) | £95 |
| Chikungunya Vaccine | £195 |
| Whooping Cough Vaccine (Pertussis) (Pertussis combined with DTP) | £95 |
Our HGV Medical Clinic IN MARYLEBONE, LONDON
LONDON
Clinic address
Light Centre, 10 Portman Square, Baker St, London W1H 6AZ
Opening hours
Mon – Fri 8:00 AM – 7:00 PM
Saturday 9:00 AM – 5:00 PM
Sunday Closed
Getting Here
Getting Here
- Bond Street station, approx. 5 min walk (Central and Jubilee lines).
- Baker Street station, approx. 8 min walk (Bakerloo, Circle, Hammersmith & City, Jubilee, Metropolitan lines).
- By car: no on-site parking. Paid parking is available on Portman Square and in surrounding streets.
- Easily reached from across central London and the City.
Contact & Accessibility
Contact the clinic
Accessibility
Ground-floor consultation rooms, no stairs.
Wheelchair-accessible entrance.
Wheelchair-accessible toilet.
What Our Patients Say ABOUT THEIR HGV MEDICAL IN LONDON
Rated ★4.5 by 300+ on Trustpilot, with excellent reviews on Google, Doctify and Top Doctors.
- Verified
Exceptional Dr totally understanding…
Exceptional Dr totally understanding totally listened and got the pain.Showing our 4 & 5 star reviews - Verified
Fast appointment
Fast appointment, consultation was not rushed.Showing our 4 & 5 star reviews - Verified
Good and efficient service
I got an appointment immediately on a Saturday. The doctor, Priya, called right on time and was thorough.Showing our 4 & 5 star reviews - Verified
First time coming to the private
First time coming to the private medical clinic in Oxford. Starting with such a warm welcome and professional care.Showing our 4 & 5 star reviews
HGV Medical London: FREQUENTLY ASKED QUESTIONS
Our clinic is in Marylebone, central London. You can reach it by underground (Baker Street, Regent’s Park or Great Portland Street stations), by rail from Marylebone station, and by bus from across the city. Street parking is available nearby if you are driving in.
The appointment typically takes 45 minutes to an hour. There is no rush, and you will have time to ask questions before you leave.
The DVLA requires blood pressure to be below 180/100 mmHg at examination. If your reading is above this threshold, your doctor will explain what this means and what to do next.
The D4 is the DVLA’s official medical report for Group 2 licences. We complete and sign it at the appointment. You submit it to the DVLA with your licence application or renewal. We provide the form, so nothing needs to be brought or downloaded in advance.
Yes. Our Marylebone clinic is well placed for drivers based in North and West London and those working in and around the Heathrow logistics area. Many drivers from the M25 and surrounding counties book with us.
Yes. You can meet Group 2 vision standards with corrective lenses. If you pass using glasses or contacts, your licence will carry a condition requiring corrective eyewear whilst driving.
Yes. Same-day appointments are available at our Marylebone clinic, subject to availability. Check current slots online or call us directly.
No. You book directly with us online or by phone. You don't need a referral from your NHS GP.
Every five years for drivers under 65, then annually. Your doctor will confirm at the appointment when your next examination is due.
In many cases, yes. The DVLA has specific guidance for Group 2 drivers managing diabetes, including requirements around hypoglycaemia awareness and blood glucose monitoring. Your doctor will assess your situation. Some cases require additional documentation from your specialist.
No clinical difference. HGV and LGV are different names for the same Group 2 licence category. Both require the D4 medical examination.
Book Your HGV Medical IN LONDON TODAY
Same-day appointments at our Marylebone clinic. Book online in minutes or call us and we will arrange it.