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Medical Standards


If applying for any of the following driving licence entitlements (C1, C1+E, C, C+E, D1, D1+E, D or D+E) you will need to complete a Medical Examination Report D4. This must be completed by your doctor within four months of submission.

Once you have attained your licence, if you have a medical condition which has become worse since your licence was issued, or you develop a new medical condition, you must inform the Drivers Medical Unit at the DVLA. Failure to inform the DVLA is a criminal offence and could be punished with a fine of up to £1,000.

You must inform the DVLA if you have any of the following:
  • epilepsy
  • fits or blackouts
  • repeated attacks of sudden disabling giddiness
  • diabetes controlled by insulin
  • an implanted cardiac defibrillator
  • persistent alcohol abuse or dependency
  • persistent drug abuse or dependency
  • parkinson's disease
  • narcolepsy or sleep apnoea syndrome
  • stroke, with any symptons lasting longer than one month, recurrent mini strokes or TIAs
  • any type of brain surgery, severe head injury or brain tumour
  • any other chronic (long-term) neurological condition
  • a serious problem with memory or episodes of confusion
  • severe learning disability
  • serious psychiatric illness or mental ill-health
  • total loss of sight in one eye
  • any condition affecting both eyes, or the remaining eye - does not include long, short sightedness or colour blindness
  • any condition affecting your visual field
  • any persistent limb problem
If you drive professionally or in connection with payment, you must also inform the DVLA of:
  • angina or other heart conditions or heart operation
  • diabetes controlled by tablets
  • visual problems affecting either eye
  • any form of stroke
Last updated: 25/06/2010
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