This paper examines coping strategies in response to covariate flood shocks and idiosyncratic health shocks among riverine peasant households in the Amazonian tropical forests. An assessment of coping strategies reveals that although precautionary savings (food stock and livestock) are important for both types of shocks, ex post labor supply responses in the form of upland cropping and resource extraction (fishing and non-timber forest product gathering) are more common to cope with the flood shock depending on local environments. A bivariate probit model examines what factors shape households' adoption decisions of gathering and fishing as a coping strategy. The analysis reveals an important insurance role of non-timber forest product gathering for the asset poor who have limited options for coping with flood risk. Targeted interventions and programs for the poor to promote sustainable forest resource use are discussed.