1. No ambulance service or advanced life support first response service shall respond to any call or request for emergency medical services within a town, village or fire district in Suffolk county that currently provides ambulance service or advanced life support services first response service, if the municipality has designated one or more ambulance services or advanced life support first response services to respond to such calls unless:

1. (a) the service is so designated;
2. (b) the response is in accordance with a mutual aid plan approved by the appropriate regional emergency medical service council;
3. (c) the response is to a verbal mutual aid request from a designated service;
4. (d) the service was specifically requested to respond by the patient or someone acting on behalf of that patient; or
5. (e) the response site is a hospital licensed under article twenty-eight of this chapter for a transfer to another such facility.

3. Every ambulance service or advanced life support first response service that operates in Suffolk county and has vehicles which travel through communities with designated ambulance service or advanced life support first response service shall require its drivers and emergency medical technicians:

1. (a) to immediately notify a central alarm or other publicly operated dispatch entity, or a person designated under section two hundred nine-b of the general municipal law to receive calls for emergency services for the purpose of dispatching emergency medical services whenever an emergency is found in a public place;
2. (b) to evaluate the need to transport any patient found in extremis to a hospital; and
3. (c) to comply with appropriate instructions from the dispatch entity. The dispatch entity, when appropriate, may instruct the service to transport any patient to an appropriate hospital.