Permission to fly?

sportykev thought this was worth mentioning said
0

Out on the island (Long Island), there are many airports. I'm outside of the 5mile range of an airport, but there are a bunch of helipads/ports around, hospitals mainly. So, I'm supposed to call them and let them know that I'm going to fly, or at least ask for permission (which I think is ridiculous). Ok, but that's life now. Have any of you called to ask for permission from these towers yet? If so, what do you say?