Medical Requirements and Examination

In order to get your provisional PSV/PCV licence you will need to to get a Medical Examination Report (D4) filled in by a doctor to ensure you meet the DVLA Group 2 medical standards and then you will need to send it off with your D2 application form in order to get your provisional licence.

The D4 form is applicable for the following vehicle licenses and classes:

  • vehicle over 3.5 and 7.5 tonne, medium or Large Goods Vehicle (LGV) (C1, C1+E, C or C+E)
  • passenger service vehicle (PSV) / passenger Carrying Vehicle (PCV) over 8 passenger seats (D1, D1+E, D or D+E).

The D4 form must have been filled in within 4 months of your application to ensure that your health is still at the same level.

D4 PSV Medical FormMedical Standards

Medical standards required for drivers of coaches and buses are higher than those required for car drivers due to the fact that you will be dealing will larger and potential more dangerous vehicles. If you’re of good health then the medical shouldn’t be a problem but  if you have any of the following medical conditions you will not be able to hold a driving licence for Passenger Service Vehicles (PSV) over 8 seats.

Epilepsy or liability to epileptic attacks – If you’ve had epilepsy in the past then you will need to be free of further epileptic attack without taking anti-epilepsy medication for 10 years before you will be considered for a licence. If you’ve only had one single epileptic attack or seizure then you may be entitled to drive after 5 years as long as you can satisfy that there is no further risk

Diabetes – If you are an insulin treated diabetic you may NOT obtain a PSV licence UNLESS you held a HGV/PSV licence valid on 1 April 1991 and the Traffic Commissioner who issued the licence had knowledge of your insulin treatment priotr to 1 January 1991.

Eyesight – You must be able to read in good light with glasses or contact lenses if necessary, a number plate at 20.5 meters/67 feet (57mm characters)  or 20 meters/65 feet (50mm characters). There are also other requirements that applicants must have related to  visual acuity, the binocular field, and monocular vision and these will be discussed in your medical

Other medical conditions
You are likely to be refused a PSV/PCV driving licence if you are affected by any of the following and cannot meet the recommended medical guidelines.

  • Within 3 months of a coronary artery bypass graft (CABG).
  • Angina, heart failure or cardiac arrhythmia which remain uncontrolled.
  • Implanted cardiac defibrillator.
  • Hypertension where the blood pressure is persistently 180 systolic or more and/or 100 diastolic or more.
  • A stroke or Transient Ischaemic Attack (TIA) within the last 12 months.
  • Unexplained loss of consciousness with liability to recurrence.
  • Meniere’s Disease, or any other sudden and disabling vertigo within the past 1 year, with a liability to recurrence.
  • Difficulty in communicating by telephone in an emergency.
  • Major brain surgery and/or recent severe head injury with serious continuing after effects.
  • Parkinson’s disease, multiple sclerosis or other chronic neurological disorders with symptoms likely to affect safe driving.
  • Psychotic illness, in the past 3 years.
  • Serious psychiatric illness.
  • If major psychotropic or neuroleptic medication is being taken.
  • Alcohol and/or drug misuse in the past 1 year or alcohol and/or drug dependency in the past 3 years.
  • Dementia.
  • Any malignant condition in the last 2 years, with a significant liability to metastasise (spread) to the brain.
  • Any other serious medical condition likely to affect the safe driving of a passenger carrying vehicle.

You can get more information about the medical standards and other requirements from The Drivers Medical Group, DVLA Swansea SA99 1TU or by phoning 0300 790 6807.

Arranging your appointment

If you have any doubts about your eligibility to apply for a PSV licence then it’s worth discussing this with your doctor/optician before you get the D4 form filled ni as this will be for free on the NHS where as you will have to pay £80 for getting the form filled in regardless of whether you pass or fail the medical.

You must arrange an appointment for a full medical examination from a doctor registered or practising in UK or in any other EC/EEA country. Getting your own doctor or GP to fill this form in will speed up the process as they will have information on your past medical history.

The form which you can download here has sections specifically for your doctor to fill in but you will be required to fill in Section 9 and Section 10 on page 8 of the D4 when you are with your doctor.

There is no specific YES/NO section on the form deciding whether you are fit to drive a passenger service vehicle as this is decided by the DVLA once they recieve your forms. Please note that the doctor’s signature will be valid for only four months so send off your D4 form, D2 application form, and your driving licence as soon as you can.

If you have any queries please phone 0300 790 6807 between 8am and 5.30pm Monday to Friday and Saturday 8am and 1pm.