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<h1>Health care services exemption extends to recognised systems of medicine and ambulance transportation but excludes cosmetic procedures.</h1> Exemption covers health care services by clinical establishments, authorised medical practitioners or paramedics in recognised systems of medicine and includes ambulance transportation; it excludes hair transplantation and cosmetic or plastic surgery except when necessary to restore or reconstruct anatomy or bodily functions due to congenital defects, developmental abnormalities, injury or trauma. Unrecognised practitioners are not covered. Definitions clarify health care services, clinical establishment and authorised medical practitioner, and confirm paramedic services given as employees of clinical establishments are treated as services of those establishments.