Medical questionnaires for Lorry and Bus licence holders

If you are renewing your lorry or bus entitlement and have any of the following medical conditions or disabilities, or if you are over 45 years of age, you need to complete the ‘medical examination report’ (DLM1).

DLM1 ‘medical examination report’ forms are available from local vehicle licensing offices, MOT centres or directly from the DVA by calling 0845 4024 000.

Neurological conditions

epilepsy
fits or blackouts
severe and recurrent disabling giddiness
parkinson's disease
narcolepsy or cataplexy
any chronic neurological condition (for example: multiple sclerosis or motor neurone disease)
major or minor strokes
brain surgery, brain tumour, severe head injury
memory problems
chronic neurological conditions (for example: multiple sclerosis or motor neurone disease)

Psychiatric conditions

any mental ill-health condition (including depression)
any psychiatric illness requiring hospital admission
alzheimer’s, cognitive impairment, dementia, memory problems

Alcohol and drugs

dependence on or misuse of alcohol in the past three years
dependence on or misuse of drugs in the past three years

Vision problems

sight in one eye only
visual problem affecting either eye

Diabetes

diabetes controlled by diet
diabetes controlled by tablets
diabetes controlled by insulin

Treatment of diabetes with Exenatide (Byetta) or Gliptins

Exenatide has been licensed as a treatment for use in type 2 diabetes, in combination with metformin and/or sulphonylureas. Trials published to date show a small but significant risk of hypoglycaemia when exenatide is used in conjunction with a sulphonylurea. It would also appear that when the gliptins (DPP4 inhibitors) are used with sulphonylureas, the hypoglycaemia risk is similarly raised. The increased risk of hypoglycaemia from exenatide or gliptins when used in combination with sulphonylureas is such that it's felt to be a potentially high risk treatment for drivers holding Group 2 (LGV or PCV) licences and that individual assessment will be required.

Group 2 drivers are required to notify the DVA if they have diabetes treated with tablets. If they are then started on exenatide or a gliptin they are only required to notify the DVA if this is in combination with a sulphonylurea. The use of exenatide or gliptins currently carries no specific driving restrictions for Group 1 (car or motorcycle) licences.

For further information you can contact DVA on: 0845 402 4000 (lines are open Monday to Friday, from 9:00 am to 5:00 pm).

Heart conditions

any heart condition other than innocent heart murmurs
peripheral arterial disease causing symptoms (for example: intermittent claudication)
abdominal aortic aneurysm

Sleep disorders

sleep apnoea syndrome
narcolepsy or cataplexy
any other condition which causes excessive daytime or awake-time sleepiness

Spinal injuries

severe spinal injuries
paraplegia
tetraplegia

Cancers, tumours and other medical conditions

You must notify DVA if you have had treatment for the following types of cancer or tumours in the past five years: - lung, melanoma, non-hodgkins lymphoma
AIDS
any other medical condition likely to affect ability to safely control a vehicle (for example: amputation, impairment secondary to medication, chronic debilitation illness)
behavioural problems (for example: asperger's syndrome)
chronic renal failure
deafness (profound)

Medical practitioners

More detailed information on the above conditions and driving can be located in the 'at a glance guide for medical practitioners'.

How to surrender your driving licence and return to driving at later date

The medical standards of fitness to drive are available to all medical practitioners. If your doctor, in accordance with these standards, has advised you that you shouldn't drive, you may wish to surrender your licence. You can re-apply for it at a later date. Surrendering your licence has an advantage, if and when you decide to re-apply.