Methods and systems for patient alignment for nuclear medicine imaging are provided. One method includes activating a proximity sensor system associated with imaging detectors of the diagnostic imaging system, wherein the imaging detectors are in an L-mode configuration. The method also includes initiating movement of a patient table of the diagnostic imaging system and using a sensed proximity of a patient on the moving patient table by the proximity sensor system to automatically adjust a height of the patient table on which the patient is supported to a patient table height scanning position.