Company SOPs may not allow that to happen .
Then the company SOPs are stupid if they constrain the pilot's leeway on a day like today.
and why should a pilot carrying a critically ill child have to worry about a FIS when they requested a RIS or RAS
An ambulance pilot seems unlikely to be stressed by such a minor occurrence on a day like this. If he / she is, then they are in the wrong job.
This sounds to me like mindless application of protocols.
QDM