Estate Law Questions? Ask an Estate Lawyer.
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What exactly are you looking for? I've never seen a "trust between a county and a county owned hospital" so I want to make sure I know exactly what you're looking for.
It should be filed along with the minutes of the commissioner's meeting in which it was adopted or signed. However, it might be easier to send an Open Records Request to the Commissioner's Court and/or the hospital asking for a copy since it should be a public record.
You can find some examples of request forms at this Google search request:
Once you send the request they are required to provide a copy or state the exemption they rely on for denial and I can't think of an exemption that would apply. You will be required to pay a slight fee for whatever time they spend digging the item out of the records and making the copies but the amount is usually just a few dollars.