What Is a PCO Medical?
A PCO medical (also known as the TPH/204 medical form) is an official health assessment required by TfL to ensure you are medically fit to work as a private hire driver.
Why Is the PCO Medical Important?
As a professional driver, you may spend long hours on the road. The PCO medical ensures that you: Are physically fit to drive safely
Have good vision and awareness,Do not have medical conditions that could impair driving,Meet legal safety standards set by TfL.
What Does the PCO Medical Include?
Your medical assessment is carried out by a GMC-registered doctor and typically takes around 15–30 minutes.


