4. Determining of standards for transport by ambulance between establishmentsTo be admissible for transport by ambulance between establishments, the following conditions must be respected:
— the patient must be admitted or registered in a hospital centre, reception centre or local community service centre designated by the Ministère de la Santé et des Services sociaux;
— the transport of a patient on a stretcher must be required by the attending physician or a specialized nurse practitioner and authorized by the director of the establishment transferring the patient or by the emergency coordination centre of the Conseil régional des services de santé et des services sociaux de la région du Montréal métropolitain.