The work of occupational therapists (OTs) in municipal healthcare has become more consultative in recent years. The aim of this study is to explore the content of the OTs' consultative role in everyday activities in municipal healthcare. The study is based on data consisting of diary notes with additional reflections made by 23 OTs during three days. The data were subjected to content analysis. OTs are contacted via referrals (telephone calls or personal communication) to arrange consultations with patients, relatives, assistant staff, and colleagues. The OTs' consultative work consists of discussion, negotiation, information, or instruction, in relation to the advice and recommendations given. They also provide supervision and support to patients, relatives, and assistant staff. The advice and recommendations are evaluated. Thus, OTs' counselling consists of more than assessments and advice, as it also includes information, instruction, supervision, support, and evaluation. Further investigations are necessary in order to understand the competence that is needed and used in the consultative role of OTs in municipal healthcare. An implication for practice is that the healthcare managers need to support the OTs' possibility to provide supervision and support, especially in relation to assistant staff as they are responsible for everyday rehabilitation.