Create new constituent from another's Relationship tab

I'm still testing v11.  Is it possible to create a new constituent record while in the relationship tab of another who we need to associate together?  For example Sam and Michael are friends.  I go into Sam's account and add an association.  While searching through there for Michael I see he does not have an account.  I don't see  the New button at this point.  Am I missing something or do I have to create Michael's account first?

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