Paige invites Sam to redefine their romance, Casey struggles with complicated feelings, and Elsa attempts to find a new normal with Doug.

Sam makes a bold move amid the buzz of orientation day. Casey crosses paths with Nate. Elsa and Doug unpack the hazards of half-truths.

Casey tells Izzie what Nate did. Sam tries to figure out which colleges to apply to. Doug discovers a need to educate first responders about autism.

Sam loses his portfolio for his art school application and panics. Megan gets flirty with Doug, who makes a decision about Elsa. Julia calls Miles.

A peer group meeting leads Sam to an important decision. Detention with Izzie shows Casey they have more in common than she thought.

In peer group, Sam realizes he needs to manage his own money. Doug gets advice from Megan on dealing with Elsa. Evan meets Casey’s new friends.