Have you explored the ArcGIS for AutoCAD Overview plugin that ESRI provides? This will let you pull in data directly from an ArcGIS service. However, I haven't seen anything about being able to pull in a page template or even a page layout from a mxd.
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You could do a basic export using the ArcMap Data Interoperability Extension -- which is basically FME Lite. This won't get graphic elements that might be present in layout view tough.
There is a custom tool called CADConverter that will export graphic elements as well as map features. Its working in several places including Centerpoint Energy and Western Power (Austraila).