The North Fork Spring River is a stream in Lawrence, Dade, Barton and Jasper counties of southwest Missouri.
The stream flows west and then northwest crossing the county line and Missouri Route NN into Dade County just to the east of Missouri Route 97 and about one mile from the source.
The stream crosses under Route 97 and flows northwest to exit Dade County and enter Barton County just east of Golden City.
The stream turns to the west and the south as it passes Lamar and again passing under route 160 and flowing south paralleling U. S. Route 71.
The stream turns southwest passing north of Preston and meanders west past Neck City prior to its confluence with the Spring River west of the community of Galesburg.