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Ambulance Driver Medicals (D4)

Ambulance / Paramedic (D4) Driver Medical Assessments

D4 medicals from £45, an assessment that all drivers must pass before being granted their C1 license in order to drive an Ambulance.

What is an Ambulance driver medical?

An ambulance driver medical, also known as an Emergency Medical Services (EMS) driver medical examination, is a specialised medical assessment conducted to evaluate the physical and mental fitness of individuals who operate ambulances as part of emergency medical services. This medical examination is essential to ensure the safety of patients, medical personnel, and other road users, as ambulance drivers are responsible for safely transporting patients to medical facilities during emergency situations.

What’s involved in my medical?

  1. Medical History Review:
    The medical practitioner will begin by reviewing the driver's medical history. They may ask questions about any existing medical conditions, surgeries, hospitalizations, medications, or treatments. It's important for the driver to provide accurate and complete information during this phase.


  2. Vision Assessment:
    The driver's vision will be assessed, including distance and peripheral vision. The medical practitioner will check for visual impairments that may affect the ability to drive safely.


  3. Hearing Assessment:
    The driver's hearing will be evaluated to ensure they can hear and respond to important auditory signals on the road, such as horns and sirens.


  4. Blood Pressure Measurement:
    The driver's blood pressure will be taken to assess cardiovascular health. Elevated blood pressure can be a concern as it may increase the risk of medical events while driving.


  5. Physical Examination:
    The medical practitioner will conduct a general physical examination, including checking for any physical disabilities or conditions that might affect the ability to drive.


  6. Neurological Examination:
    The nervous system will be assessed to check for signs of neurological conditions that could impair driving skills.


  7. Medication Review:
    If the driver is taking any medications, the medical practitioner will review them to determine if they could affect driving ability or pose safety risks on the road.


  8. Additional Tests:
    In some cases, additional tests may be required, depending on the driver's medical history and the medical practitioner's assessment. These tests may include an electrocardiogram (ECG) for heart health or specific neurological tests.


  9. Fitness to Drive Assessment:
    Based on the findings from the various examinations and assessments, the medical practitioner will make an overall assessment of the driver's fitness to drive Ambulances. If the driver meets the necessary medical standards, they will receive a D4 medical certificate.


  10. D4 Medical Certificate: This certificate is an essential document and must be submitted to the Driver and Vehicle Licensing Agency (DVLA) as part of the application or renewal process. It indicates that the driver has passed the D4 medical examination and is medically fit to drive.

What medical conditions could affect my application?

Successfully passing your medical examination involves a careful consideration of various medical factors that could potentially impact your ability to drive safely. Your appointed GP will carefully evaluate each of these factors. The good news is that the most frequent causes of non-compliance can often be easily resolved. 


For instance, it's not uncommon for drivers to encounter difficulties during their vision assessment due to an inadequate or outdated prescription for corrective lenses. In such instances, we strongly recommend a pre-appointment visit to an optician to ensure your vision meets the necessary standards.

Similarly, elevated blood pressure readings can sometimes be attributed to stress, hurrying to the appointment, or underlying health conditions. For individuals who do not pass due to high blood pressure, we extend a complimentary re-test opportunity, allowing you to address and manage this concern.


While some medical conditions may be more serious and potentially create hurdles to passing the medical examination, effective management can often mitigate even the most severe conditions as barriers to obtaining or renewing your license. The surest way to determine your eligibility is through a comprehensive evaluation by a qualified medical professional.

Book your medical appointment now.

How often do I need a medical?

If you passed your driving test before 1997 you will automatically have a C1 license until the age of 70.

It will then need to be renewed every 3 years.

What your required to bring to your medical assessment

Photographic ID

Current UK Drivers License
Current UK Passport

Prescriptions/ Glasses

Any Prescriptions
Glasses (reading and distance)

Medical Records and 
Current Medication

Full Medical Summary
Current Medications

Approved Medical Provider

As an approved provider to numerous local authorities across the Northwest and holding multiple commercial contracts with councils, Medicals Northwest is committed to delivering a high-quality service. With locations in over 10 areas, we’ve established a strong reputation for excellence in both quality and customer service. When you book your taxi medical with us, you can rest assured that you’re working with an experienced and reputable provider.

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