The East Branch Delaware River offers multiple public access points in Delaware County, with hand-launch sites at Cadosia and Fish's Eddy near Hancock, plus additional parking and wading access in East Branch and Hancock.

The upper section (Downsville to East Branch) features gentle, wader-friendly flows along Route 30 with numerous pull-offs and public parking areas, while the lower section (East Branch to Hancock) provides more challenging whitewater conditions suitable for drift boats and canoes.