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Drivers name as it appears on licence: Date of Birth: Type of medical required? (ie HGV, LGV, PCV, Taxi, etc) Email: Telephone: Subject: Date:- Time:- Location:- I understand I need to bring the following:- a) £60 - cash or card b) my Photocard driving licence c) if I wear contact lenses for driving, bring solutions, if necessary, or if I wear glasses, ensure they are my current prescription d) a list of all medication I take and the name and address of my own doctor's surgery Confirmation:- By pressing 'Send' below, your medical will be reserved and you will be contacted by text or email to confirm your booking.