A religion is whatever I say it is. Any provision to the contrary is an establishment of religion and unconstitutional. So, if Gardasil is against my conscience, I don't need the say-so of no stinkin' medical professional.
“for reasons of conscience, including a religious belief”
vs
“conflicts with tenets and practices of the church or religious denomination of which the applicant is a member”
Seems pretty different to me. Not only do you have to be a “member” for that to work, it has to go against the “tenets and practices” of that particular church or denomination...otherwise find an Alaskan doc that says it will hurt you.
“A distinction without a difference”
Not sure what you mean here. There is a big difference between the two. In TX you don’t need a Dr. to sign off, in AK you do.