PCO Medical Certificate
PCO Medical Certificate For Private Hire Drivers
A DVLA Group 2 standard medical assessment required by Transport for London (TfL) and all private hire licensing authorities. Same-week appointments available at our Blackheath clinic.
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DVLA Group 2 standard -
Accepted by TfL -
Same-week appointments -
CQC-regulated clinic
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TfL Accepted
D4 form issued same day
About the Assessment
What Is a PCO Medical?
A PCO (Public Carriage Office) medical is a mandatory health assessment required for all private hire and taxi drivers licensed by Transport for London and most UK local councils.
It ensures drivers meet the DVLA Group 2 medical standard — the same standard required for HGV and bus drivers. The assessment covers vision, cardiovascular health, neurological fitness, diabetes management, and overall physical and mental wellbeing.
Upon passing, you receive a completed D4 medical form and a covering letter accepted by TfL and other licensing authorities. Medicals are required every 3 years (under 45), annually (45–65), or every 6 months (over 65).
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Same-Day D4 Form
Documentation issued at appointment
Who Needs a PCO Medical?
Our PCO medical is accepted by TfL and local licensing authorities for drivers working with:
Uber
TfL private hire licence required
Bolt
TfL private hire licence required
Ola
TfL private hire licence required
Free Now
TfL private hire licence required
Local councils
Outside London licensing authorities
Black cab drivers
Metropolitan Police / TfL
Why Choose The Blackheath Clinic?
Preparation
What to Bring
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Valid photo ID (passport or driving licence) -
Your current driving licence (UK or foreign) -
Details of any medical conditions or ongoing treatments -
List of current medications -
Glasses or contact lenses if you use them -
Any relevant specialist letters or test results
PCO Medical Assessment
£120
Per assessment · D4 form included
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Full DVLA Group 2 medical assessment -
Completed D4 medical form -
TfL covering letter -
Vision and cardiovascular checks -
Same-day documentation
Our Patient Review

I was understandably very worried and was able to book an appointment within just a couple of hours. From the moment we met him, Dr Mac Sweeney was kind, reassuring, professional and genuinely caring. He took the time to listen, explained everything clearly, and made us feel that my husband was in very safe hands.
What impressed me most was that his care did not stop when we left the consultation. He followed up on several occasions to check on my husband's progress, prescribed more medicine and even went out of his way to provide a letter for our insurance company, which was incredibly helpful.
In a world where good service can sometimes feel hard to find, Dr Mac Sweeney demonstrated a level of compassion and personal attention that was truly exceptional. The fee was also very reasonable, especially given the time, care and support we received.
I would wholeheartedly recommend Dr Mac Sweeney to anyone needing medical assistance and will always be grateful for the kindness he showed to both of us. If I lived in London I would most certainly subscribe to his membership scheme so he could deal with all my family's medical needs.


The clinic has a friendly and relaxed atmosphere, with a fresh, calming scent that immediately creates a welcoming environment. Everything was explained clearly and professionally, making the whole experience completely stress-free.
I particularly appreciated the expert advice and felt comfortable throughout. I would highly recommend The Blackheath Clinic to anyone looking for a professional, patient-focused service.


As I entered the tastefully curated space, I encountered one of the rarest of things: a polite, smiling and genuinely welcoming receptionist. In fact, she was so warm and courteous that I briefly wondered whether I had wandered into an upmarket spa by mistake.
Then I met Dr Sweeney. He was charming, courteous, friendly and thoroughly professional, with the kind of bedside manner that reminds you what general practice can be at its best: attentive, humane and quietly confident. He came across as someone who takes real pride in his work and genuinely cares for his patients.
The whole experience felt like stepping back into a time when patients were warmly received and doctors truly doctored. As I was leaving, Dr Sweeney mentioned that he was off on a home visit. A GP doing a home visit in 2026? I was so astonished I nearly needed examining all over again.
Join this practice quickly before word gets out and the list fills up. This is care delivered by people who genuinely care, and that feels all too rare these days

I had lip filler and RRS Long Lasting skin boosters, and she took the time to explain everything clearly, answer all my questions, and ensure I felt confident about the treatments. Her attention to detail and gentle approach really stood out, and I couldn’t be happier with the results.
Dr Micha Plugaru truly combines expertise with a warm, personal touch. I would highly recommend her to anyone considering aesthetic treatments — you’re in the safest and most caring hands.
Frequently Asked Questions
The appointment typically takes 30–45 minutes, including all assessments and completing the documentation.
Yes. The cost includes the full assessment, the completed D4 medical form, and the TfL covering letter.
Under 45: every 3 years. Ages 45–65: annually. Over 65: every 6 months. Your licensing authority may have specific requirements.
We provide you with the completed documentation at your appointment. You submit it directly to TfL or your licensing authority.
Bring your glasses or contact lenses to the appointment. We will assess your corrected vision as part of the standard check.
We aim to offer same-week appointments. Contact us to check current availability for urgent bookings.
Ready to Book Your PCO Medical?
Keep your licence valid and your business running. Same-week appointments available.
£120 · D4 form included · No hidden charges