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HGV, bus and taxi medicals in London, compared
This page compares five driver medical options for London, including The Wellness, where a doctor examines you and completes your D4 for £195 or your taxi medical for £200 in a 30 minute appointment in London.
Updated 23 October 2026
How much is an HGV medical in London?
At The Wellness a doctor gives you 30 minutes, examines you, tests your vision and signs the D4 for £195, or a taxi medical for £200. Elsewhere an HGV or bus D4 medical starts from about £60. We read each price on the provider's own website on 23 October 2026.
| Provider | Medical | Published price | What the price includes | Where |
|---|---|---|---|---|
| The Wellness | HGV and bus D4 medicals, and taxi medicals | D4 £195, bus £195, taxi £200 | A 30 minute appointment with a doctor, a full medical examination and vision testing, and the D4 form completed and signed. Taxi medicals are accepted by TfL and every UK local authority. | In person in London, confirmed when you book |
| London Doctors Clinic | HGV medical exam and certificate | £90 plus VAT | A 15 minute HGV medical exam and certificate with a GP, longer if anything needs looking at. | 16 clinics across London and the South East |
| Drivers Medicals | Drivers’ medical examination | about £60 to about £70 with VAT | A drivers’ medical examination at a UK wide network, priced the same nationally. | Locations across the UK |
| D4Drivers | D4 medical | about £60 | A vision check, a blood pressure check and a medical history questionnaire, with evening and weekend appointments in central London. | Bendall Mews, NW1, among 116 UK locations |
| Fleet Street Clinic | HGV and PCV drivers medical | Does not publish | An assessment of about 45 minutes at a SEQOHS accredited clinic, in central London, at your workplace or remotely. | 29 Fleet Street, EC4 |
We read each provider’s prices on its own website on 23 October 2026. The links to every page we read are at the end of this page.
How a driver medical at The Wellness works
A doctor gives you 30 minutes in person in London, examines you, tests your vision and completes and signs the D4 for £195, or the taxi medical for TfL or your council for £200. If something in the examination needs attention, such as raised blood pressure or a medicine that affects driving, the same doctor deals with it there rather than leaving you to find someone else.
What you get at The Wellness
- 30 minutes with a doctor and the D4 completed and signed, £195.
- A taxi medical accepted by TfL and every UK council, £200.
- Vision testing at the same appointment.
- No UK GP registration needed.
The evidence behind how we do it
At The Wellness a doctor sees you, explains what they find, writes down what happens next, and the same practice is there for anything that follows.
Results that nobody acts on are a known failure in outpatient care. A systematic review of 19 studies found that between 6.8% and 62% of laboratory results were not followed up, and missed results were linked to delayed diagnoses. Callen and colleagues, Failure to follow-up test results for ambulatory patients, a systematic review, Journal of General Internal Medicine, 2012
Seeing the same doctor matters. A systematic review found 22 studies of continuity of doctor care and mortality, and 18 of them reported lower death rates when patients saw the same doctor more often. Pereira Gray and colleagues, Continuity of care with doctors, a matter of life and death? A systematic review of continuity of care and mortality, BMJ Open, 2018
Ask which medical you need
Message us with your licence category or council, and a clinician will tell you which medical fits. Messages are usually answered within minutes.
Ask a clinicianQuestions to ask before any driver medical
- Is the D4 form completed and signed in the price?
- Does the price include VAT?
- Is the vision test done at the same appointment?
- What happens if a result means I cannot be passed today?
How to read a driver medical price
Check whether VAT is included, because several driver medical prices are quoted without it.
Check whether the vision section is done at the same appointment, because GOV.UK says an optician may need to complete it.
What the guidance says
A doctor needs to complete the D4 medical examination report when you apply for a lorry or bus driving licence. GOV.UK, D4 medical examination report, Driver and Vehicle Licensing Agency
If a doctor cannot answer all the vision questions, an optician or optometrist must complete that part of the D4. GOV.UK, D4 medical examination report, Driver and Vehicle Licensing Agency
Warning signs at any provider
- A price that leaves out VAT without saying so.
- No doctor named on the completed form.
- No plan for what happens if your blood pressure or vision falls short on the day.
What else people ask
At the five providers on this page, an HGV D4 medical costs from about £60 at D4Drivers to £195 at The Wellness. London Doctors Clinic charges £90 plus VAT. We read each price on the provider's own website on 23 October 2026.
GOV.UK says a doctor needs to complete the D4 when you apply for a lorry or bus licence, and an optician or optometrist can complete the vision section if the doctor cannot.
At The Wellness a taxi medical is £200, accepted by TfL and every UK local authority. Bring your photo ID, your licence and your authority's application form.
Where each figure and finding comes from
- The Wellness, thewellnesslondon.com/services/driver-medicals
- London Doctors Clinic, londondoctorsclinic.co.uk/services/work-medicals/hgv-drivers-medical, read 23 October 2026
- Drivers Medicals, driversmedicals.com/prices, read 23 October 2026
- D4Drivers, d4drivers.uk/d4-medicals and d4drivers.uk/locations/central-london, read 23 October 2026
- Fleet Street Clinic, fleetstreetclinic.com/corporate/occupational-health/occupational-health-medicals/drivers-medical, read 23 October 2026
- GOV.UK, D4 medical examination report, Driver and Vehicle Licensing Agency
Written and reviewed by the clinical team at The Wellness. Last reviewed Medically reviewed by Dr Sofian Youssef, GMC 7713973
Request a driver medical at The Wellness
A doctor completes and signs your D4 for £195 in a 30 minute appointment.
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