The stream headwaters are in south central Douglas County about three miles southwest of Squires. The stream flows south into northwest Ozark County and past the community of Toledo. Further south it flows parallel to Missouri Route JJ and under Missouri Route 95 at Thornfield. It continues past the Hammond mill site and on into a northern arm of Bull Shoals between Theodosia and Isabella. The stream continues as part of Bull Shoals past Pontiac and into Arkansas to the west of Oakland and Arkansas Highway 202.[2][3]
Variant or historical names include Little Fork, Little North Fork, and Little North Fork River.[1]