Understanding the PCO Licence Application and the TPH 204 Medical Form: A Comprehensive Guide

If you're looking to become a licensed taxi or private hire vehicle (PHV) driver in London, understanding the PCO licence application process and the TPH 204 medical form is crucial. This comprehensive guide will walk you through everything you need to know about obtaining your PCO licence and completing the required medical examination.
What is a PCO Licence?
A PCO (Public Carriage Office) licence, now known as a Private Hire Vehicle (PHV) licence, is issued by Transport for London (TfL) and is required for anyone wanting to drive a licensed minicab or private hire vehicle in London. This licence ensures that all private hire drivers meet the necessary standards for safety, professionalism, and medical fitness.
Understanding the TPH 204 Medical Form
The TPH 204 is a medical declaration form that all PCO licence applicants must complete as part of their application. This form requires a thorough medical examination by a registered doctor to assess your fitness to drive professionally. The examination includes:
- Vision assessment (including colour vision)
- Cardiovascular evaluation
- Review of existing medical conditions
- Assessment of medications that might affect driving ability
- Overall fitness evaluation
The PCO Licence Application Process
Obtaining a PCO licence involves several steps:
- Complete the TPH 204 medical examination with an approved doctor
- Pass a DBS (Disclosure and Barring Service) check
- Provide proof of right to work in the UK
- Hold a valid UK driving licence for at least three years
- Pass the required topographical test
- Complete a Safeguarding awareness course
Medical Requirements for PCO Licence
To obtain and maintain a PCO licence, you must meet specific medical standards:
- Meet the visual acuity standards set by TfL
- Have no medical conditions that could affect safe driving
- Be free from conditions that could cause sudden incapacity
- Not be taking medications that impair driving ability
Renewing Your PCO Licence
PCO licences must be renewed periodically. The renewal process involves:
- Completing a new TPH 204 medical examination
- Updating your DBS check
- Ensuring all other requirements remain current
How Gogodoc Can Help with Your PCO Medical
Gogodoc provides professional TPH 204 medical examinations for PCO licence applicants and renewals. Our experienced doctors are fully qualified to conduct these examinations and complete the required documentation. We offer:
- Convenient appointment scheduling
- Thorough and efficient medical examinations
- Prompt completion of the TPH 204 form
- Guidance throughout the process
Don't let the medical examination process delay your PCO licence application. Contact Gogodoc today to schedule your TPH 204 medical examination and take the first step toward your career as a licensed private hire driver in London.
'Ask Gogodoc About' is an educational series providing information on various symptoms, pains, and disorders. It is intended for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment.
Last updated: 18 July 2025

