Midland Medical

TFL PCO & Taxi Driver Medical London – £45

Whether you are a Black Cab driver or a Private Hire professional, obtaining your TFL Taxi driver medical is a vital requirement for your London license. At Midland Medical, we provide the official TPH/204 health assessment for the capital’s most competitive price. Our £45 service is designed for both new applicants and those undergoing their 3-year renewal, ensuring your TFL PCO Medical is completed by a GMC-registered doctor who understands Transport for London’s strict fitness criteria.

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Whats included in your Taxi Medical?

Eye Test

Medical History Review

Physical Exam

Urine Test

About our Clinic

Expert TFL PCO Medical for PHV Drivers

For minicab and chauffeur professionals, the TFL PCO Medical is a standard part of the PHV licensing process. Our clinicians perform a full review of your medical history and a physical exam to ensure you meet the Group 2 medical standards. We handle everything from blood pressure checks to neurological screenings, providing a fast-track service that gets you back on the road in under 20 minutes.

Specialist TFL Taxi Medical for Black Cabs

London’s Black Cab drivers are held to the highest professional standards. Our tfl taxi driver medical assessment covers all mandatory requirements of the TPH/204 form, including a comprehensive vision test (visual acuity and field of vision). We ensure that every detail—from cardiovascular health to diabetes management—is documented correctly to prevent any delays from the TFL licensing department.

Download TFL TPH/204 Medical Form

Dont forget to bring with you

Choose from our nearest Location

Our London clinics are based in:

Hornsey (North London)
Tooting (South London)
Watford (North West London / M25)
Chessington (South West London / Surrey Border)
Sevenoaks (South East / Kent Border)

Ask us about TFL PCO Medicals or TFL Taxi Medical

London TFL Taxi & Private Hire Medical FAQs

Does this medical assessment use the official TFL TPH/204 form?

Yes, absolutely. For any London-based driver, whether you are applying for a PCO license or a Black Cab badge, the TPH/204 is the only medical form Transport for London will accept. Our GMC-registered doctors are fully equipped with these forms and understand exactly how to complete every section—from the vision assessment to the cardiovascular check—to ensure your application meets TFL’s high safety standards.

Do I need to see my own GP for a TFL PCO medical?

TFL regulations state that the doctor performing your medical must have access to your medical records. While you can go to your own GP, they often charge high private fees and have long waiting times. You can choose to see us instead; just ensure you bring your full medical records from your GP surgery. This allows our doctors to verify your health background and sign off your TPH/204 form on the same day for a much more competitive price.

How is the TFL vision test different from a standard eye exam?

A TFL taxi driver medical requires you to meet the DVLA Group 2 vision standard, which is much stricter than the standard for a normal car license. Our doctors will test your visual acuity (how well you see at a distance) and your field of vision (peripheral sight). If you wear glasses or contact lenses, we must test you both with and without them. Please bring your most recent optical prescription to the appointment to ensure we can document your vision correctly for TFL.

What is the "4-month rule" for TFL medical certificates?

Transport for London is very strict about the age of your medical paperwork. Your TPH/204 medical form must be dated within 4 months of the date you submit your licensing application. If the doctor’s signature is older than 4 months, TFL will likely reject the medical and ask you to get a new one. We recommend booking your London TFL medical once you have started the rest of your application process to ensure the timing is perfect.

Can I use this medical for a TFL license if I have an underlying health condition?

Yes, having a condition like well-managed diabetes or treated high blood pressure does not automatically disqualify you. However, TFL requires detailed information on how these conditions are monitored. During your PCO medical, our doctor will review your history and ensure your condition meets the Group 2 safety threshold. Bringing any recent hospital letters or a list of your medications will help our doctor provide the detailed sign-off that TFL requires to approve your license.