Frequently asked questions

A Safety Critical Medical includes a detailed review of your medical history and a full physical exam. This often involves:

• Blood pressure check
• Vision and hearing tests (audiometry)
• Spirometry (lung function)
• Musculoskeletal screening
• Mental health and wellbeing assessment
• Drug and alcohol testing

All assessments are carried out by experienced clinicians following SEQOHS-accredited standards, ensuring your safety and compliance under the Health and Safety at Work Act 1974.

A D4 Medical is the medical examination required when applying for or renewing a Group 2 licence (HGV, LGV, PCV, Bus or Lorry). The exam includes:

• Review of medical history
• Blood pressure and BMI check
• Eye test (visual acuity + colour vision)
• Cardiovascular, neurological and mental health screening
• Completion of your official DVLA D4 form
• Appointments typically take 15–20 minutes, and we aim to issue completed forms on the same day.

You must bring:

• A valid form of photo ID (e.g., driving licence or passport)
• Your medical records from your NHS GP surgery (printed or electronic summary)
• Details of any medical conditions, medications, or treatments

Please note: If you do not bring medical records, the assessment cannot be completed, even if you provide a prescription list.

Urine samples are required for:

• Diabetes screening (glucose check)
• Drug testing (in safety critical roles or when employer-mandated)

If a drug and alcohol screen is part of your assessment, the sample must be taken at the appointment under controlled conditions.

We offer:

• Pre-employment drug and alcohol testing
• Random or unannounced screening
• Post-incident testing
• Return-to-work testing

We use UKAS-accredited partner laboratories where applicable and follow a SEQOHS-compliant chain of custody process to ensure all results are legally defensible and accurate.

A workplace mental health assessment may explore:

• Levels of stress, anxiety, or low mood
• Impact of mental health on job performance
• Recent changes in behaviour or wellbeing
• Any work-related pressures or interpersonal issues

Our clinicians provide a clear fitness-for-work opinion and recommend reasonable adjustments where appropriate, in line with SEQOHS and Equality Act 2010 guidance.

In most cases, yes particularly for:

D4 Driver Medicals

Taxi/PCO Medicals

Safety Critical Medicals

Fit to Work Certificates

Provided that all necessary documentation is supplied at your appointment (especially your medical records), we issue completed paperwork same-day or within 24 hours.

A Fit for Work medical focuses on:

Any current health issues affecting work

Recent sickness absence history

Ability to perform your specific job role

Any reasonable adjustments or phased return needs

Our SEQOHS-accredited assessments ensure that both employee and employer receive a clear, fair, and medically-sound opinion to support a safe and successful return to work.