The standard
TfL applies the DVLA Group 2 medical standards, the same as for bus and lorry drivers, set out in the DVLA's guidance on assessing fitness to drive. The medical is usually done by a doctor with access to your full medical records, often your GP, using TfL's form TPH/204. You pay for it; TfL puts it at about £80.
Doubtful cases
Where the answer is not clear, TfL's occupational medical adviser decides, and you can send more evidence in writing.
Who can skip the form
- Holders of a DVLA Group 2 licence, full or provisional, issued after 1 January 1998.
- Holders of a current pilot's licence, whose medical standard matches TfL's.
Ask TfL's licensing team about an exemption by email. Drivers whose C1 or D1 entitlement came with a car licence issued before 1997 still need TfL's medical.
While you are on the Knowledge
If you develop a condition, or start medication, that could affect vocational driving, tell TfL straight away.
Sources
- TfL, Apply for a taxi driver licence, Medical requirements
- TfL, Taxi and private hire driver policy, version 6.0, 1 September 2026, sections 3.6.1 to 3.6.6
From the guide: How to become a London taxi driver