how can i create a pdf from a document in medical portal.

the document I want downloads and then triggers a very updated version of Adobe Acrobat, trying to also push subscribing. When I click on create a PDF Adobe just gives more options and goes to free trial. I  called support for the site which is a HOSPITAL portal and was told this is how the location I go to set up their portal to function. I just want a copy of my own medical information. It used to work before.  This is rather hard to believe. It doesns't make sends.

When I click right on the document, nothing comes up that says "save as" which usually is the case.