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Hello Mark,

If you feel she will be able to touch buttons on the Echo Show screen, there is an Accessibility feature called “Tap to Alexa”. It’s under Settings- Accessibility

It puts a small button on the screen that she would tap to get a list of on-screen buttons that you can configure to make Alexa Calls.

The button can do almost anything that you can speak to Alexa as a command.

For example, “Alexa, call Mark”

If you prefer physical buttons, here is something I set up as a Use Case for someone wanting to do Alexa Calling with a button on a Fire TV.

In the second video, you can note the button being used to make an Alexa Video Call

I’m also looking into a solution with a button with four large pads that could hold names or pictures for calling different people.