MedStar Georgetown University Hospital is committed to helping all of our patients make a smooth transition from pediatric to adult health care. This process requires working with our patients and their families to plan and prepare for transition starting around the 14th birthday. At age 18, youths in our practice will transition to an adult model of care with modifications as needed for youths with intellectual disabilities. We honor the preferences of the youth and family regarding the eventual transfer of care to an adult primary care medical home, but this tends to occur by 22 years of age.