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In the secondary toolbar, click Extract

Select the content, and then copy the selection (in most applications, by choosing Edit > Copy File To Clipboard)Open the PDF that serves as the basis of the combined file

Choose Tools > Organize PagesThe Organize Pages toolset is displayed in the secondary toolbarIn the secondary toolbar, choose Insert > From Clipboard

Alternatively, you can also right-click a page and select Insert Pages to get the insert optionsIn the Insert Pages dialog box, specify where to insert the selection (before or after the first or last page, or a designated page)

Click OK

To leave the original PDF intact as a separate file, choose Save As, and type a new name for the merged PDFThis option corresponds to the Only Read The Currently Visible Pages option in the Accessibility Setup Assistant

Read The Entire Document This option can be best if you use a screen reader that has its own navigation and search tools and that is more familiar to you than the tools in AcrobatThis option corresponds to the Read The Entire Document At Once option in the Accessibility Setup Assistant

For Large Documents, Only Read The Currently Visible Pages This option is selected by default and is usually best if you use a screen reader with long or complex PDFsIt allows Acrobat to deliver an entire small document but revert to page-by-page delivery for large documents