Become an Exercise Referral Specalist With our Internationally Recognised Training

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Level 4 Diploma in Exercise Referral

Exercise referral specialists tailor fitness programmes to support those with chronic physical conditions or illnesses to improve their health and well-being. They will take referrals from GPs and other medical practitioners respectively. 

The Level 4 Exercise Referral course will train you to work with patients suffering from a variety of health conditions. The knowledge and skills acquired on this qualification will allow you to create safe and effective training programmes that aid rehabilitation and recovery. 

What can follow is a well-paid, enjoyable and incredibly rewarding career. Find out more about the Level 4 Diploma in Exercise Referral by making an enquiry or downloading our latest prospectus.

Course Type:


Course Length:

8 weeks (Average)


Focus Awards 

Make an enquiry about this course


Available Packages

Advanced Personal Trainer Package

  • Level 4 Diploma in Exercise Referral
  • Level 5 Certificate in Obesity & Weight Management
  • Level 5 Advanced Nutrition Diploma for Weight Management
Individual RRP:
0% Interest Payment Plans
  • Advanced Training Systems CPD
  • Medicine Ball Training CPD
  • Suspension Training CPD
  • Advanced Periodisation CPD
  • Body Weight Training CPD
  • Myofascial Release CPD
Individual RRP:
0% Interest Payment Plans

The Expert Trainer Package

  • Level 4 Exercise Referral
  • Level 5 Certificate in Diabetes Control & Weight Management
  • Level 5 Certificate in Obesity Control & Weight Management
  • Level 5 Nutrition in Weight Management & Athletic Performance
Individual RRP:
0% Interest Payment Plans
  • Medicine Ball Training CPD
  • Suspension Training CPD
  • Bodyweight Training CPD
  • Advanced Training Systems CPD
  • Advanced Training Systems CPD
  • Business & Marketing CPD
Individual RRP:
0% Interest Payment Plans

GPs refer their patients to fitness professionals for a variety of reasons. Some require exercise and nutritional guidance for ongoing health conditions, whilst others will need specialist support following a recent injury or illness.  

With the growing demand for experts within this field, OriGym's Exercise Referral Qualification ensures that you're trained to meet the needs of a diverse population with a variety of health issues. There has truly never been a better time to step into this career. 

  • Course Length: On average, the course takes 8 weeks to complete.
  • Entry Requirements: Level 3 Gym Instructor Qualification
  • Accreditations: The Level 4 GP Referral course is fully endorsed by CIMSPA
  • Cost: £699, with no hidden fees for registration, certification or examination, plus unlimited free exam resits
  • Offer & Payment Options: Spread the cost with 0% interest on flexible monthly instalments. 

Upon completing your exercise referral course, you’ll qualify with:

  • Focus Awards Level 4 Diploma in Exercise Referral (RQF)
  • 10 CIMSPA points

To complete the Level 4 Exercise Referral course, you need to complete both theory and practical-based assessments. You will also have to complete all the online course modules that have mini-assignments and multiple-choice interactive quizzes to demonstrate your learning retention and competence.

The assessment process for the Level 4 Exercise Referral qualification is as follows:

  • Multiple choice open book online exam on anatomy and physiology - 90% pass mark required.
  • Multiple choice open book online paper on the application of nutrition - 90% pass mark required.
  • Practical assessment on delivering a programme for a patient of exercise referral.

If you have already completed a Level 4 Course in Personal Training you may be exempt from any relevant theory papers, that previously appeared on said qualification.

However, in this instance to obtain your GP Referral Qualification you'll still be required to pass your coursework and practical assessment for each relevant module. 

What You'll Learn - Level 4 Exercise Referral Course

On your GP Exercise Referral course, you’ll develop specialist knowledge across 4 primary areas, these are:

The Professional Practice For Exercise Instructors 

Exercise referral specialists work with a range of clients, each with different conditions that require specific treatments. In this introductory module, you’ll learn:

  • The responsibilities of an exercise referral specialist
  • How the UK health system functions
  • How GPs refer clients to Exercise-Referral specialists
  • How to evaluate the risk and success of your clients

Understanding Medical Conditions for Exercise Referral 

A solid understanding of various medical conditions is central to a career as an exercise referral professional. This module provides this knowledge extensively covering conditions such as:

  • Hypertension
  • Diabetes
  • Osteoarthritis
  • Osteoporosis
  • Obesity
  • Diabetes
  • Chronic Obstructive Pulmonary Disease
  • Depression
  • General Anxiety Disorder 

Planning Exercise Referral Programmes

In this module of your GP Referral Qualification, you will learn how to tailor workout plans and exercise strategies to suit a wide range of medical conditions. This includes understanding how to:

  • Offer the correct support to clients
  • Safeguard various clients with different needs
  • Provide guidance and motivation
  • Set effective SMART goals

Instructing Exercise with GP-Referred Patients

Through reviewing existing case studies, assignments and examples from real GPs, you’ll learn about setting physical, nutritional and personal goals for clients. This module will also involve the creation and instruction of a six-week programmes

OriGym’s Level 4 Diploma in Exercise Referral is taught entirely online, allowing you to study and qualify in as much or as little time as you require. However, you will need to complete your physical assessment at one of our nationwide locations.

Once enrolled you will gain access to our award-nominated eLearning platform, containing materials such as online lectures, eBooks, and so much to help you through the course modules!

Should you struggle with any aspect of completing your GP Referral course online, you can receive personal support 7-days a week (including evenings). Our team of tutors will be on hand to help you by phone, email, or our chatbox feature.

After completing your Exercise-Referral course, you’ll be able to register for Level 4 status. This opens the door for a wide range of career opportunities with both public and private medical organisations such as BUPA, as well as fitness establishments like Nuffield Health.

Career Support:

As you progress throughout your career, OriGym’s post-course support team will provide continued guidance and advice to help you achieve success. This includes services such as:

  • CV Analysis & Optimisation
  • Distributing Your CV to Local Partners 
  • Free Business & Marketing Resources
  • Mock Job Interviews
  • Exclusive OriGym Alumni Discounts 

These services have helped over 92% of our graduates find employment and you too can be a part of this impressive statistic. 

Progression Routes:

After completing your exercise referral course, you’ll also have the opportunity to progress onto additional fitness qualifications. This includes becoming a Personal Training Diploma, which would in-turn allow you to develop in areas such Level 5 Lower Back Pain Management, or Level 5 Diabetes & Weight Control Management.

Alternatively, you can complement your exercise referral skills with knowledge of a topic such as sports massage therapy.

All students must hold a Level 3 Gym Instructor Qualification prior to enrolling on our Level 4 Exercise Referral course. In addition to this, we ask all applicants to be over the age of 16 prior to the commencement of studying!

Our Level 4 Exercise Referral Course is fully endorsed by CIMSPA, regulated by Ofqual, and awarded through Focus Awards.

This guarantees that your qualification is of the highest possible standards and is recognised by fitness industry employers across Ireland and internationally!

There are no deadlines associated with this qualification, as you’ll complete your exercise referral course through distance learning, online. 

This approach to studying allows you to complete the course at your own pace, with a flexible time-frame that fits around any prior commitments you may already have!

Following enrollment, students will gain immediate access to OriGym’s online learning platform. This contains resources that are essential for completing your online exercise referral course, including - virtual assessments, lectures, and interactive modules.

Students on OriGym’s GP Exercise Referral Course will also receive support from our team of expert tutors, 7 days a week via phone, email, or chat box.

Once you have completed your GP Exercise Referral Course, you will gain actress to a plethora of post-course support services. This includes CV analysis and distribution, business consultations, and preparation for a guaranteed interview with one of our corporate partners in your area. 

We value the success of our students, which is why these post-course support services have helped over 92% of graduates find employment within the health and fitness industry. 


Join hundreds of our qualified exercise referral instructors working with leading health organisations.

Guaranteed Interviews

We can assist you in landing your ideal position with prestigious organisations like BUPA & Nuffield Health.

Professional Guidance

Our post-course support team will optimise your CV and distribute it to our corporate partners in your local area.

Extensive Tutor Support

We offer more course support than any other training provider, as our tutors are available 7 days a week!

  • Puregym
  • Virgin Active
  • Everlast Fitness Club
  • DW Fitness First
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  • Sport Direct Fitness


Angel Howarth PT Image

Angel Howarth

Fitness Influencer & Personal Trainer

Amazing Course & Career

After having a long-term passion for fitness and having built up her fitness Instagram page (@angfitpt) following to nearly 60k, Angel was getting messages constantly regarding her routines and workout posts. She decided to enrol onto OriGym's Personal Training Diploma and since has also started her Advanced Nutrition Qualification to offer her followers expert, qualified advice. 

Before I started the course, I was a lover of the gym, but unsure where I wanted to take my career. I was at university studying something I couldn’t see myself doing. That was until I found OriGym. I wanted to do the course so I could learn more about a passion of mine and eventually turn it into a career. I wanted the knowledge to turn my passion into my day to day life. I am now going to start working in a gym as a personal trainer, building my own business and hopefully continue to study around the subject too. I’m excited for what the future holds!

Sophie Dennison

Fitness Influencer

Sophie Dennsion is a leading influencer within the health and fitness sector with a 195k followers on Instagram alone. She opted to study with OriGym as her chosen training provider for her Personal Training qualifications.

Follow Sophie's fitness and PT journey: @sophie_does_squats

I have had such a wonderful experience with Origym. I started and completed my Level 2 Gym Instructor theory within lockdown and passed my practical after lockdown. The Origym tutors were super helpful with feedback on work. Also, the programme design had lots of information and I could work at my own pace! 

Heather Hacking, Gym Instructor and Personal Trainer.

Heather Hacking

Founder of Heather Hacking PT

Fantastically Structured & Well Organised

As a mother of three children after spending the past nine years building her career as a solicitor, Heather made the decision to follow a life-long passion for health, wellness and fitness, and pursue a career as a personal trainer.

Studying part-time with OriGym to fit around family and work, I achieved my Level 3 Gym Instructor and Level 4 Personal Training qualifications. I found OriGym’s courses to be fantastically structured and well organised, and my tutor Andy Tsang was brilliant - he taught me so much!

After graduating I started my fitness business with the sole purpose of empowering women, both physically and mentally. My business has now been shortlisted as a finalist in the ‘Breakthrough Personal Trainer’ category at Northern Ireland’s Health & Fitness Awards 2019 - I am so thrilled! I am very grateful to OriGym for giving me such a great foundation to launch my business from.

sue evans image

Sue Evans

Fitness Instructor & Personal Trainer

I love my new career!

Before joining OriGym, Sue worked in a gym as a Membership Sales Advisor. Many new members asked if Sue would be willing to train them, but as she wasn't qualified, she had to keep turning them down. Researching several companies, Sue enrolled on OriGym's Personal Training Diploma and has never looked back!

I researched many fitness courses but kept coming back to OriGym. I felt a good vibe from the team and the owners Luke and Steph are friendly & down to earth. I loved how involved they were in the courses! The course itself was AMAZING! The staff and teachers were fantastic, I really felt that they cared about me and my progress, going above and beyond what I had ever expected from them.

I’m now a confident Personal Trainer working for an international gym chain. The future looks so bright for me; I’m even enquiring about doing a season on a Cruise ship as part of the Royal Caribbean fitness team! OriGym has helped to make my dreams come true.


Interest-Free Payments

You can pay in monthly instalments with 0% finance and will not require a guarantor!

Flexible Payment Plans

Our payment plans are flexible, allowing you to focus on enjoying the exercise-referral course!

Best Price

With some of the cheapest industry courses, you can enrol on your exercise referral course for as little as €799!

What our students say about origym courses