Pco Medical


The PCO medical examination also known as a TPH 204, makes sure you are medically fit to drive passengers. As a large amount of a driver’s time would be spent behind the wheel, TfL need to ensure that a PCO licensed driver is medically fit to do so through the PCO medical. TfL use standards they specify for a DVLA Group 2 licence (Large good vehicles and buses) which are notably higher because there must be a specific set of rules for drivers that are employed behind a wheel.

The Medical Declaration form (TPH/204) which we provide, must be handed to our GP that has full access to your medical history.

The PCO medical report is not free and practitioners can charge from £80-£150. This is an unavoidable cost unless you are exempt*

Here at PCO Licence East London we fulfill our promise to you of unbeatable prices, offering our fully qualified and TFL approved GP at the lowest price of £80 with an eye test included.

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Our in house GP will complete your TPH/204 form on the same day there and then!

The PCO medical examination will only take around 30 minutes and you will be asked questions about the following topics:

  • Cardiovascular
  • Endocrine system
  • Musculoskeletal
  • Neurological
  • Psychiatric
  • Vision

Next Steps
Based on the results of the PCO medical examination, the doctor will write down on your TPH/204 if you have fulfilled the medical requirements of the DVLA Group 2 Licence and will then apply the surgery stamp on it. If we are processing your application then we will send this form off as part of your PCO application. If you are applying yourself you will be given the completed medical form to take home on the day.


Applicants may be exempt from completing a medical form as part of their application if they:

  • Hold a DVLA Group 2 licence (full or a provisional licence issued since January 1998)
  • Have an active application with us, have completed our medical test and are under the age of 45**

**Active applicants or existing licensees must have a medical exam if you are over the age of 45 and the last medical was done more than three years ago or if you are subject to providing an age-related medical.

To apply for any of the above exemptions please email TfL at tphenquiries@tfl.gov.uk stating the exemption you wish to apply for and they will email you the correct form.


Becoming a Private Hire driver is open for all and at PCO Licence East London we provide support and advice for those disabled wanting to become licensed. However, for public safety reasons there are sometimes restrictions on the ability to give out licenses and so it is important to consult your GP before you apply.

Realistically, can I become licensed if I am disabled?

Of course! For example, some licensed taxis and private hire vehicles have modifications that enable people to drive them. Vehicle adaptations include:

  • Steering wheel ball
  • Hand-operated braking controls
  • Hand-operated accelerator control
  • Reconfigured foot pedal controls
  • Infra-red control panel for operating vehicle lights, indicators and horn

The vehicle adaptations will need to examined by a medical professional and driver assessor. together they will recommend what adaptations are needed and exactly what equipment must be fitted to ensure the driver has full control of the vehicle at all times. They must be fitted by an authorised motability installer along with documentary evidence.


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