Fitness Facility Director
Medical Fitness Facility Director 

Through the creation of these exams, MFA will help produce the next generation of fitness leaders raising the bar for an entire industry. (NCCA accreditation pending)

Exposure to the study materials and industry metrics has been tremendously valuable to me in running my own facilities. Even industry veterans will be well served by pursuing these certifications. I highly recommend it; in fact, we now require it of our facility directors.

Alan Loyd, FACHE, FMFA, CMFFD
Executive Director at Beacon Health & Fitness
South Bend, Granger & Elkhart, IN


For over 25 years, the Medical Fitness Association has provided fitness leaders with educational resources, networking opportunities and facility certifications. In addition, MFA offers two professional credentials (pending NCCA accreditation) to help you take your career to the next level.

These certifications are designed to test your knowledge of fundamental operations of fitness facilities and your understanding of the role fitness facilities play in the future of healthcare.

The two credentials build on each other. Successful completion of the Certified Fitness Facility Director (CFFD) exam is required prior to sitting for the Certified Medical Fitness Facility Director (CMFFD) exam.

The Fitness Facility Director Certification ensures that fitness facility directors and aspiring fitness facility directors possess the core knowledge and skills to safely and efficiently manage their centers. The 100-question Fitness Facility Director Certification exam also exposes the fitness industry to the basic concepts of Exercise is Medicine and MFA’s Facility Standards and Guidelines.

Eligibility Criteria: You must have a minimum of three years of experience in a management/leadership position with a bachelor degree or higher in a fitness, or business, related field, or five years of experience in a management/leadership position with a minimum of an associate degree.  In addition, you must currently be (or recently within one year) in a supervisory or management position in a fitness facility

The Medical Fitness Facility Director Certification credential builds on the base knowledge tested in the CFFD exam. This 50-question exam covers knowledge in nine specific content areas relevant to the operation of medically integrated fitness facilities including:

  • Risk and Emergency Management;
  • Finance and Budgeting;
  • Staffing;
  • Quality and Outcomes;
  • Assuring a Safe Environment of Care;
  • Physician Referral;
  • Marketing,
  • Strategic Planning; and
  • General Operations. 

Possessing the CMFFD demonstrates to employers that you, the Certified Director, are prepared to ensure and sustain a safe environment of care for disease management programming that integrates seamlessly with both the fitness center’s core offerings and the local continuum of care.

Eligibility Criteria: You must have passed the Fitness Facility Director Credential Exam and currently (or within one year) be serving in a supervisory or management role in a medically integrated fitness facility.


The MFA helps to prepare facilities and facility managers that are connected to local healthcare to fully meet the needs of the doctors, patients, members, communities and the health systems they serve.

resource list is available for reference.

A copy of the Test Blueprint may be found here.

A few Sample Test Questions with an explanation of each answer choice may be found here.

Completing the Certified Fitness Facility Director (CFFD) exam will be a prerequisite for taking the Certified Medical Fitness Facility Director (CMFFDC) exam.

Elevate your career by becoming a Certified Fitness Facility Director, or a Certified Medical Fitness Facility Director, this year!


Price List:

  • Members: $299 for FFDC Exam
    – You must pass the FFDC exam before you are eligible to take the MFFDC exam
  • Members: $299 for MFFDC exam
    – You may only take the MFFDC exam after you have passed the FFDC Exam
  • Non-Members: $499 for FFDC (includes a complimentary one year Individual MFA Membership) – You must pass the FFDC exam before you are eligible to take the MFFDC exam
  • Non-Members: $499 for MFFDC (includes a complimentary one year Individual MFA Membership) – You may only take the MFFDC exam after you have passed the FFDC exam

Exam Offerings (Click on the date to register)
Note to members: Be sure to sign in to get the MFA member rate!

November, 13, 2019 –  MFA Annual International Conference – Orange County Convention Center – Orlando, FL


The CFFD and CMFFD credentials are valid for a 3-year period. In order to maintain your credential, you must re-certify every three years.

There are two ways of re-certifying:

  1. you may document at least 30 hours of continuing education credits, or
  2. you may retake the director certification examination.

If you choose to document your education, fifteen(15) CEC credits must be earned through Medical Fitness Association educational programs, either in person at a Regional or the Annual Conferences, or by webinar. The remaining hours may be documented from any other source. These credit hours must be submitted to MFA within thirty (30) days of your 3rd anniversary to prevent your certification from lapsing.