In Quebec, the prevalence of Autism Spectrum Disorder (ASD) is increasing and resources are limited; thus, although there are many requests for services, only some people have access to them. In this context, the present study aims to understand the nature and distribution of expectations and needs expressed by families of children with ASD, and how these relate to access to intensive behavioural intervention (IBI) services. An inductive thematic analysis of 352 parents’ service request form statements about their specific needs and expectations was conducted. The three themes (needs and expectations) that emerged from this analysis were: obtaining stimulating activities for the child, preparing for the child’s social and school integration, and obtaining help to improve the family situation. Families with no employment income and those in which parents’ language is not French are more likely to mention concerns about the family situation, while families with employment income are more concerned about their child’s social and educational integration, and those whose language is French are seeking stimulation activities for their child. The implications of these results for social inequalities in health will be discussed.