What does an HGV medical involve?
An HGV medical is a medical assessment carried out to confirm that a driver meets DVLA Group 2 medical fitness standards for driving HGV, LGV, or PCV vehicles. The purpose of the medical is not to test driving ability, it is to assess whether your health, vision, and medical history are safe for professional driving. The doctor completes the D4 medical form during the appointment and records the findings for your licence application or renewal.
What does the doctor ask about during the appointment?
During the appointment, the doctor will review your medical history and ask about any existing or past health conditions. This normally includes questions about heart and circulation problems, neurological conditions, diabetes, sleep disorders, mental health conditions, medication use, hospital admissions, and any symptoms that could affect alertness or driving safety. The doctor may also ask follow-up questions if something needs clarification or further evidence.
How is eyesight assessed during an HGV medical?
Vision and eyesight are an important part of the HGV medical. Your distance vision, visual fields, and use of glasses or contact lenses are assessed to ensure that you meet Group 2 visual standards. If you wear glasses or lenses, you should bring them to the appointment. In some cases, you may also be asked about past eye conditions or previous eye surgery.
Are blood pressure and heart health checked?
Your blood pressure is measured to check whether it is within DVLA’s acceptable limits. If your blood pressure is high, you may be advised to obtain further readings or medical treatment before your licence can be approved. The doctor will also assess general cardiovascular health and may ask about chest pain, palpitations, breathlessness, or fainting episodes, as these can affect medical fitness to drive.
Are other health risks reviewed as part of the assessment?
Depending on your health history, the doctor may also review neurological symptoms, sleep apnoea risk, alcohol and substance history, and any conditions that could cause sudden incapacity. In some cases, DVLA may request specialist reports or additional medical evidence before making a licensing decision.
Is an HGV medical a full physical examination?
The assessment is not normally a full physical examination; it is a structured medical screening designed to ensure that you are safe to hold a Group 2 licence. Many drivers successfully pass their medical even if they have controlled medical conditions, provided these are well-managed and declared accurately.
If you need a Group 2 / HGV medical, you can book an appointment at one of our clinics, and the doctor will complete your D4 form during the visit.