The 2 year visit usually repeats the M-CHAT autism screening, measures BMI for the first time, and focuses on language, behavior, and big-kid sleep.

What happens at the visit

Weight, height, and BMI. Full exam. Repeat M-CHAT autism screening (many practices do it at 18 and 24 months). Language and behavior check-in. Often a lead and hemoglobin screen if not done at 12 months.

Developmental milestones to discuss

Two-word phrases (“more milk,” “daddy go”), running, kicking a ball, walking up stairs, stacking blocks, pretend play, and following two-step directions.

Vaccines at this visit

No routine new vaccines at the 2 year visit for most kids. Catch-up doses if needed, and annual flu in season.

Questions worth asking

What to watch for between now and the next visit

Longer sentences, more complex play, sharing and parallel play, potty training curiosity. Call about aggression that feels disproportionate, skill loss, or concerning sleep changes.

How VisitRecall fits in

Record the visit with one tap; your partner gets the summary within minutes. Track growth, vaccines given, and the pediatrician’s specific advice on one timeline with family profiles, and use the parents hub for the rest.

FAQ

My 2 year old only says a few words — Early Intervention?

Yes, ask about it. It’s free in most states, and earlier is better if needed.

Should I worry about BMI?

Usually the pediatrician is looking at the trajectory, not a single number. They’ll tell you if they’re watching something.

When should we start potty training?

Readiness signs matter more than age. Your pediatrician can walk through them.