Choose Edit > Insert > Page from File, select the PDF that you want to add, then click Open. To choose where to insert the other document, select a page thumbnail. 
Choose View > Thumbnails to show page thumbnails in the sidebar. This process will be slightly different based upon your operating system: If the instructions request that you sign and scan multiple documents, you will need to compile all of them into a single PDF document for upload. Below you will find best practices in combining multiple PDFs, as well as for compressing documents if the file is too large to upload: If there are multiple documents, you will need to combine the pages to form one document. Note: The image is pasted and has a square surrounding the image with dots y the borders to re-size the image.Sometimes enrollments will require additional steps that include documents with multiple pages to be uploaded back onto the enrollment after completion. Paste the image cmd+v in the exported file JPG. Select the image cmd+a and copy the image cmd+cĪt this moment you have 3 files open the original PDF(1), the exported JPG(2) and the image file (3) all of them with Preview. Open the exported file from PDF which at this moment is in JPG(is that clear?). Open the image you want to add with Preview. Export it as a JPG with the highest resolution (That's what I did, not sure if it works with lower resolution). 
Open your PDF where you want to add the image with Preview.And also don't use another app or software. Not just add a new page in the pdf with an image.
I spend a lot of time reading the "solutions" and no one was able to do what I want: Paste an image or photo in the middle of the content PDF pdf.
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