Twin Rivers State Forest offers five primitive campsites accessible only by hiking or paddling along the Suwannee and Withlacoochee rivers, with yellow-banded trees marking river entrances.

All sites are hike-in or paddle-in only with no electricity, potable water, or vehicle access—requiring pack-in/pack-out practices and prohibiting firewood cutting.

The campground supports fishing, canoeing, kayaking, and hiking, with reservations available up to 11 months in advance through ReserveAmerica.