To add or subtract expressions, expand them to make their denominators the same. Least common multiple of $4\left(a+4\right)$ and $4\left(a-4\right)$ is $4\left(a-4\right)\left(a+4\right)$. Multiply $\frac{a+12}{4\left(a+4\right)}$ times $\frac{a-4}{a-4}$. Multiply $\frac{a+4}{4\left(a-4\right)}$ times $\frac{a+4}{a+4}$.
Since $\frac{\left(a+12\right)\left(a-4\right)}{4\left(a-4\right)\left(a+4\right)}$ and $\frac{\left(a+4\right)\left(a+4\right)}{4\left(a-4\right)\left(a+4\right)}$ have the same denominator, subtract them by subtracting their numerators.
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of $4\left(a-4\right)\left(a+4\right)$ and $\left(a-4\right)\left(a+4\right)$ is $4\left(a-4\right)\left(a+4\right)$. Multiply $\frac{19}{\left(a-4\right)\left(a+4\right)}$ times $\frac{4}{4}$.
Since $\frac{-64}{4\left(a-4\right)\left(a+4\right)}$ and $\frac{19\times 4}{4\left(a-4\right)\left(a+4\right)}$ have the same denominator, add them by adding their numerators.
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of $4\left(a+4\right)$ and $4\left(a-4\right)$ is $4\left(a-4\right)\left(a+4\right)$. Multiply $\frac{a+12}{4\left(a+4\right)}$ times $\frac{a-4}{a-4}$. Multiply $\frac{a+4}{4\left(a-4\right)}$ times $\frac{a+4}{a+4}$.
Since $\frac{\left(a+12\right)\left(a-4\right)}{4\left(a-4\right)\left(a+4\right)}$ and $\frac{\left(a+4\right)\left(a+4\right)}{4\left(a-4\right)\left(a+4\right)}$ have the same denominator, subtract them by subtracting their numerators.
To add or subtract expressions, expand them to make their denominators the same. Least common multiple of $4\left(a-4\right)\left(a+4\right)$ and $\left(a-4\right)\left(a+4\right)$ is $4\left(a-4\right)\left(a+4\right)$. Multiply $\frac{19}{\left(a-4\right)\left(a+4\right)}$ times $\frac{4}{4}$.
Since $\frac{-64}{4\left(a-4\right)\left(a+4\right)}$ and $\frac{19\times 4}{4\left(a-4\right)\left(a+4\right)}$ have the same denominator, add them by adding their numerators.