Helds Island Access offers a concrete boat ramp on the Gasconade River with primitive camping facilities and a privy available for visitors. Located about 6 miles north of Mt.

Sterling via Route K (which becomes a gravel road), this access point provides approximately 1/10 mile of direct river access and is marked by a cantilever sign at the entrance.

The site features grassy camping areas and sees regular boat traffic, making it a convenient launch point for paddlers and anglers.