The purpose of this study is to investigate the relationship and degree of specificity between teachers' reported concerns at three points in the Problem Identification process of Instructional Consultation. Although previous research has documented the types of teacher referral concerns commonly seen in special education and other consultation models, the research regarding this issue in Instructional Consultation Teams is limited. This research is drawn from a sample of 67 case manager/teacher dyads during the 2001-2002 school year. Descriptive statistics on the types of referral concerns at all three points are provided. The relationships between referral concerns and demographic characteristics of the student (gender, grade level, and ethnicity) are discussed. Finally, patterns in the specificity of concern descriptions are analyzed. Implications for future research and training in Instructional Consultation are considered.