My truck goes the right if you let go of the wheel while rolling. Also, to go straight, the steering wheel is slightly to the right. What do you think could cause this? Normal alignment or a bigger issue? I know it could be anything and without seeing it no one can say for sure, but perhaps there's a common issue or weak spot that I could be made aware of?

Thanks.

 

For the "tracking" issue (drifts right after driving straight and letting go of the steering wheel), yes, I'd say it's an alignment issue.

For the steering wheel being off center (having to hold it slightly right to go straight; even if say, you let go of the wheel and it were to stay straight), they can (should) fix that during the alignment. Make sure to tell them the steering wheel is off-center though.
(I actually just got an alignment on my Toyota. It tracks straight when you let go of the steering wheel, but the wheel is slightly to the right to go straight. Just don't have the time to have them re-fix it.)