Hello McMillan,
Welcome to Atlassian Community. It's nice to meet you!
This would depend on the application you are using for your calls/messages, but for Skype you would create a link like this:
Replace 'call' with 'chat' if you want to open a chat message instead.
This isn't specific to Confluence, so you should speak with your provider on what the proper URL would be in order to initiate a call or chat.
Let me know if you have any trouble!
Regards,
Shannon
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